Tka Home Care LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

TKA HOME CARE LLC

Doing business as

North Georgia Home Care LLC

Practice address

2850 Delk Rd SE
Apartment 14J
Marietta, GA 30067-5352

Phone

(678) 903-4086

Fax

(770) 216-1576

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominic Antonio Aaron

Title

Ceo

Phone

(678) 903-4086

Specialties & licenses 1

Addresses

Other names 1

• North Georgia Home Care LLC Doing business as

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1366873770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 DELK RD SE",
            "address_2": "APARTMENT 14J",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675352",
            "telephone_number": "678-903-4086",
            "fax_number": "770-216-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 DELK RD SE",
            "address_2": "APARTMENT 14J",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675352",
            "telephone_number": "678-903-4086",
            "fax_number": "770-216-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-903-4086"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Marietta, GA
• Providers in Marietta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.