Active NPI
Home Care Associates of South Georgia
- Home Health Agency
- Leesburg, GA
National Provider Identifier
1346479136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 088-R-0001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851779098A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.