Shirley & Naomi Private Home Care Services & Transportation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

031-R-1524 Issued in GA

Legal business name

SHIRLEY & NAOMI PRIVATE HOME CARE SERVICES & TRANSPORTATION

Practice address

3723 Arminto Dr
Ellenwood, GA 30294-6663

Phone

(404) 226-8541

Fax

(770) 389-8554

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Cherryl Parris-Leung, LPN

Title

Owner

Phone

(404) 226-8541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1407212012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 ARMINTO DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946663",
            "telephone_number": "404-226-8541",
            "fax_number": "770-389-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 ARMINTO DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946663",
            "telephone_number": "404-226-8541",
            "fax_number": "770-389-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY & NAOMI PRIVATE HOME CARE SERVICES & TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "PARRIS-LEUNG",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "CHERRYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-226-8541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "031-R-1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Ellenwood, GA
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• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.