Organization Active NPI

Home Care Associates of South Georgia

  • Home Health Agency
  • Leesburg, GA
National Provider Identifier
1346479136
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
088-R-0001 Issued in GA
Legal business name
HOME CARE ASSOCIATES OF SOUTH GEORGIA
Practice address
175 Winnstead Dr
Leesburg, GA 31763-5326
Phone
(229) 432-5778
Fax
(229) 432-5778
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mrs. Merlong Hightower Taylor
Title
Owner
Phone
(229) 432-5778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 088-R-0001 GA Primary

Addresses

Primary practice location

175 Winnstead Dr
Leesburg, GA 31763-5326

Mailing address

175 Winnstead Dr
Leesburg, GA 31763-5326
Phone (229) 432-5778

Other identifiers 1

IdentifierTypeStateIssuer
851779098AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1346479136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WINNSTEAD DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635326",
            "telephone_number": "229-432-5778",
            "fax_number": "229-432-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WINNSTEAD DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635326",
            "telephone_number": "229-432-5778",
            "fax_number": "229-432-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ASSOCIATES OF SOUTH GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MERLONG",
        "authorized_official_middle_name": "HIGHTOWER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-432-5778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "088-R-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851779098A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.