Professional Medical Institute Inc Dba Professional Medical Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

044-R-1097 Issued in GA

Legal business name

PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE

Practice address

4336 Covington Hwy
Suite 202
Decatur, GA 30035-1211

Phone

(404) 289-7178

Fax

(404) 289-7178

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Malvalene Williams Hursefield, REGISTEREDE NURSE

Title

Asst. Administrator

Phone

(404) 464-5360

Specialties & licenses 1

Addresses

Other names 1

• professional medical home care agency Doing business as

Locations

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1356712830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 COVINGTON HWY",
            "address_2": "SUITE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351211",
            "telephone_number": "404-289-7178",
            "fax_number": "404-289-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 COVINGTON HWY",
            "address_2": "SUITE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351211",
            "telephone_number": "404-289-7178",
            "fax_number": "404-289-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS HURSEFIELD",
        "authorized_official_first_name": "MALVALENE",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "404-464-5360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTEREDE NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "professional medical home care agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primrose Home Care & Staffing Solutions LLC
• Makenya Pringle, PH.D.
• Brandon Harold Printup, L.P.C
• Priority Health, LLC
• Professional Healthcare Corporation
• Progress Village Pediatric Therapy Services
• Progressive DG, LLC
• Progressive Pain Centers
• Promise Health Medical Institute
• Kenneth Steven Protas, M.D.

• In Home Supportive Care Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.