Organization Active NPI

Kormick Home Care

  • In Home Supportive Care Agency
  • Alpharetta, GA
National Provider Identifier
1346476777
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
060-R-0508 Issued in GA
Legal business name
KORMICK HOME CARE
Practice address
11380 Southbridge Pkwy
Suite 225
Alpharetta, GA 30022-4433
Phone
(770) 777-4781
Fax
(770) 777-4782
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Mrs. Sue P McCormick
Title
Owner
Phone
(770) 777-4781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 060-R-0508 GA Primary

Addresses

Primary practice location

11380 Southbridge Pkwy
Suite 225
Alpharetta, GA 30022-4433

Mailing address

11380 Southbridge Pkwy
Suite 225
Alpharetta, GA 30022-4433
Phone (770) 777-4781

Other names 1

  • Synergy HomeCare North Atlanta Doing business as

National Provider Directory

National Provider Directory

Locations

11380 Southbridge Pkwy
Ste 225
Alpharetta, GA 30022
Phone (770) 777-4781

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1346476777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 SOUTHBRIDGE PKWY",
            "address_2": "SUITE 225",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224433",
            "telephone_number": "770-777-4781",
            "fax_number": "770-777-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 SOUTHBRIDGE PKWY",
            "address_2": "SUITE 225",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224433",
            "telephone_number": "770-777-4781",
            "fax_number": "770-777-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORMICK HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-777-4781",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare North Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.