Organization Active NPI

Xtra Pair of Hands, LLC

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1417298282
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
XTRA PAIR OF HANDS, LLC
Practice address
2004 Eastview Pkwy
Suite 105
Conyers, GA 30013-5770
Phone
(404) 825-4398
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Kym Smith
Title
Manager
Phone
(404) 825-4398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2004 Eastview Pkwy
Suite 105
Conyers, GA 30013-5770

Mailing address

2004 Eastview Pkwy
Suite 105
Conyers, GA 30013-5770
Phone (404) 855-4592

Other names 1

  • Xtra Pair of Hands Senior Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1417298282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 EASTVIEW PKWY",
            "address_2": "SUITE 105",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135770",
            "telephone_number": "404-855-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 EASTVIEW PKWY",
            "address_2": "SUITE 105",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135770",
            "telephone_number": "404-825-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA PAIR OF HANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-825-4398"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xtra Pair of Hands Senior Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.