Elijah Health Care Solutions LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

031-R-0581 Issued in GA

Legal business name

ELIJAH HEALTH CARE SOLUTIONS LLC

Practice address

1547 Stockbridge Rd
Jonesboro, GA 30236-3742

Phone

(770) 210-4474

Fax

(770) 210-4475

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Annett Hernandez

Title

Administrator

Phone

(770) 210-4474

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1417255795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 KYLE SPRINGS LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384890",
            "telephone_number": "770-210-4474",
            "fax_number": "770-210-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 STOCKBRIDGE RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363742",
            "telephone_number": "770-210-4474",
            "fax_number": "770-210-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH HEALTH CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ANNETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-210-4474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "031-R-0581",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "031-R-0581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Nursing Care Agency in Georgia

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