Active NPI
Full Circle Home Health Care
Doing business as Full Circle Assisted Living Facility
- Respite Care
- Carrollton, GA
National Provider Identifier
1407123177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.