Interim Healthcare of Northeast Georgia Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

069-R-0021 Issued in GA

Legal business name

INTERIM HEALTHCARE OF NORTHEAST GEORGIA INC

Practice address

1062 Thompson Bridge Rd
Suite B-7
Gainesville, GA 30501-1762

Phone

(770) 534-0083

Fax

(770) 534-2443

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lacy Ann Kenny, R.N.

Title

Vice President

Phone

(770) 534-0083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407986391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 THOMPSON BRIDGE RD",
            "address_2": "SUITE B-7",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011762",
            "telephone_number": "770-534-0083",
            "fax_number": "770-534-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 THOMPSON BRIDGE RD",
            "address_2": "SUITE B-7",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011762",
            "telephone_number": "770-534-0083",
            "fax_number": "770-534-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NORTHEAST GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-534-0083",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "069-R-0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Keith Ingram, N.P.
• Mario Deaundra Ingram, M.D.
• Innovative Hearing Solutions, Inc (GoToHearing)
• Integrated Healthcare Center of Gainesville LLC
• Integrative Mental Wellness Care
• Aqsa Iqbal
• Susan Irick, NP
• Babette Marie Irizarry, MD
• Christopher Irvin
• Farah F Isbell, MCDCCCSLP

• Home Health Agency in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.