Organization Active NPI

Family Private Home Care, LLC

  • In Home Supportive Care Agency
  • Roswell, GA
National Provider Identifier
1356087399
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY PRIVATE HOME CARE, LLC
Practice address
1905 Woodstock Rd Ste 5200
Roswell, GA 30075-5630
Phone
(678) 620-3064
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Tony Plummer
Title
Ceo
Phone
(678) 620-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1905 Woodstock Rd Ste 5200
Roswell, GA 30075-5630

Mailing address

1905 Woodstock Rd Ste 5200
Roswell, GA 30075-5630
Phone (678) 620-3064

National Provider Directory

National Provider Directory

Locations

1905 Woodstock Rd
Ste 5200
Roswell, GA 30075
Phone (678) 620-3064

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1356087399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WOODSTOCK RD STE 5200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755630",
            "telephone_number": "678-620-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WOODSTOCK RD STE 5200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755630",
            "telephone_number": "678-620-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-620-3064"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.