Organization Active NPI

Amazing Hearts Homecare LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1386323699
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAZING HEARTS HOMECARE LLC
Practice address
1418 Mill Pointe CT # B
Lawrenceville, GA 30043-9111
Phone
(404) 447-7927
Fax
(678) 407-1132
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Korpo Kpissay Erawoc, FNP-CNPI 1366970139
Title
Nurse Practitioner
Phone
(404) 447-7927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1418 Mill Pointe CT # B
Lawrenceville, GA 30043-9111

Mailing address

1418 Mill Pointe CT # B
Lawrenceville, GA 30043-9111
Phone (404) 447-7927

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1386323699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MILL POINTE CT # B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300439111",
            "telephone_number": "404-447-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MILL POINTE CT # B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300439111",
            "telephone_number": "404-447-7927",
            "fax_number": "678-407-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HEARTS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "ERAWOC",
        "authorized_official_first_name": "KORPO",
        "authorized_official_middle_name": "KPISSAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-447-7927",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.