Organization Active NPI

Engage Enterprises, LLC

  • In Home Supportive Care Agency
  • Stockbridge, GA
National Provider Identifier
1366736167
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
075-R-0295 Issued in GA
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

Updated by the provider on Jun 9, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.