Organization Active NPI

Full Circle Home Health Care

Doing business as Full Circle Assisted Living Facility

  • Respite Care
  • Carrollton, GA
National Provider Identifier
1407123177
Registry record updated Nov 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
FULL CIRCLE HOME HEALTH CARE
Doing business as
Full Circle Assisted Living Facility
Practice address
443 Bagwell Rd
Carrollton, GA 30117-9347
Phone
(678) 320-8030
NPI assigned
Nov 24, 2011
Last updated
Nov 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2011

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

Authorized official

Name
Tanasia D Parks
Title
Owner
Phone
(678) 320-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

443 Bagwell Rd
Carrollton, GA 30117-9347

Mailing address

443 Bagwell Rd
Carrollton, GA 30117-9347
Phone (678) 320-8030

Other names 1

  • Full Circle Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322092800000",
    "number": "1407123177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 BAGWELL RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179347",
            "telephone_number": "678-320-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 BAGWELL RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179347",
            "telephone_number": "678-320-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-24",
        "last_updated": "2011-11-24",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "TANASIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-320-8030"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.