NPIMap

Organization Active NPI

Renew Home Care, LLC

  • In Home Supportive Care Agency
  • Norcross, GA
National Provider Identifier
1407091515
Registry record updated Sep 10, 2009
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2009004362 Issued in GA
Legal business name
RENEW HOME CARE, LLC
Practice address
6961 Peachtree Industrial Blvd Ste 220
Norcross, GA 30092-3656
Phone
(678) 291-8449
Fax
(678) 291-8450
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Ms. Perina V Mason
Title
Owner
Phone
(678) 923-4894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2009004362 GA Primary

Addresses

Primary practice location

6961 Peachtree Industrial Blvd Ste 220
Norcross, GA 30092-3656

Mailing address

6020 Hickory Springs Dr
Norcross, GA 30071-3460
Phone (678) 421-0015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1407091515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 HICKORY SPRINGS DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713460",
            "telephone_number": "678-421-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 PEACHTREE INDUSTRIAL BLVD STE 220",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923656",
            "telephone_number": "678-291-8449",
            "fax_number": "678-291-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "PERINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-923-4894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "2009004362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.