Organization Active NPI

Willocks Personal Care Home LLC

  • Home Health Agency
  • Union City, GA
National Provider Identifier
1336858034
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILLOCKS PERSONAL CARE HOME LLC
Doing business as
Accessible Health Care of Peachtree City
Practice address
4405 Mall Blvd Ste 110-D
Union City, GA 30291-2044
Phone
(678) 462-3425
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alophia Hudson
Title
Owner
Phone
(678) 462-3425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4405 Mall Blvd Ste 110-D
Union City, GA 30291-2044

Mailing address

4405 Mall Blvd Ste 110-D
Union City, GA 30291-2044
Phone (678) 462-3425

Other names 1

  • Accessible Health Care of Peachtree City Doing business as

National Provider Directory

National Provider Directory

Locations

4405 Mall Blvd
Ste 110D
Union City, GA 30291
Phone (678) 462-3425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1336858034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 110-D",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912044",
            "telephone_number": "678-462-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 110-D",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912044",
            "telephone_number": "678-462-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOCKS PERSONAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "ALOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-462-3425"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible Health Care of Peachtree City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.