Active NPI
Engage Enterprises, LLC
- In Home Supportive Care Agency
- Stockbridge, GA
National Provider Identifier
1366736167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 075-R-0295
- Legal business name
- ENGAGE ENTERPRISES, LLC
- Practice address
- 100 Eagles Walk Ste D
Suite D
Stockbridge, GA 30281-6335 - Phone
- (770) 507-6622
- NPI assigned
- Jun 9, 2011
- 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
- Mr. Bob J. Shropshire Jr.
- Title
- President/Administrator
- Phone
- (770) 507-6622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 075-R-0295 | GA | Primary |
Addresses
Primary practice location
100 Eagles Walk Ste D
Suite D
Stockbridge, GA 30281-6335
Mailing address
100 Eagles Walk
Suite D
Stockbridge, GA 30281-6335
Phone (770) 507-6622
Other names 1
- HomeWell Senior Care
National Provider Directory
National Provider DirectoryLocations
100 Eagles Walk
Ste D
Stockbridge, GA 30281
Phone (770) 389-0734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307577600000",
"number": "1366736167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAGLES WALK",
"address_2": "SUITE D",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816335",
"telephone_number": "770-507-6622",
"fax_number": "404-591-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAGLES WALK STE D",
"address_2": "SUITE D",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816335",
"telephone_number": "770-507-6622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENGAGE ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A",
"authorized_official_last_name": "SHROPSHIRE",
"authorized_official_first_name": "BOB",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
"authorized_official_telephone_number": "770-507-6622",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "075-R-0295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeWell Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockbridge, GA
- Kyndra Lenee Ellis, RN, NNP
- Shemille Ellis, MD
- Tambrea Toylett Ellison, M.D.
- Embracing Change Counseling Services, LLC
- Endocrine & Diabetes Consultants, PC
- Jackquelina English, SUPERVISED THERAPIST
- Envip Medical Supplies
- Epeople Healthcare Georgia, LLC
- Epeople Healthcare Georgia, LLC
- Douglas K Epps, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.