NPIMap

Organization Active NPI

Atlanta's Elite Home Care LLC

  • In Home Supportive Care Agency
  • Dacula, GA
National Provider Identifier
1396432647
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ATLANTA'S ELITE HOME CARE LLC
Practice address
3017 Cove View CT
Dacula, GA 30019-4717
Phone
(678) 933-9830
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Kebba Fadera
Title
Director of Operations
Phone
(678) 933-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3017 Cove View CT
Dacula, GA 30019-4717

Mailing address

3017 Cove View CT
Dacula, GA 30019-4717
Phone (678) 933-9830

Other names 1

  • Atlanta's Elite Home Care LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1396432647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 COVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194717",
            "telephone_number": "678-933-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 COVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194717",
            "telephone_number": "678-933-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA'S ELITE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "FADERA",
        "authorized_official_first_name": "KEBBA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "678-933-9830"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta's Elite Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.