Organization Active NPI

Clarence Home Care LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1417692419
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLARENCE HOME CARE LLC
Practice address
100 Hartsfield Center Pkwy Ste 500
Atlanta, GA 30354-1377
Phone
(678) 515-2148
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Ms. Kimberly Renee Hayes
Title
Owner
Phone
(404) 246-2470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

100 Hartsfield Center Pkwy Ste 500
Atlanta, GA 30354-1377

Mailing address

100 Hartsfield Center Pkwy Ste 500
Atlanta, GA 30354-1377
Phone (678) 515-2148

Other practice location 1

539 Cairo St NW
Atlanta, GA 30314-2729
Phone (404) 246-2470

Other identifiers 1

IdentifierTypeStateIssuer
GBL-0322-111158MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clarencehomecare@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Clarence Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1417692419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARTSFIELD CENTER PKWY STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541377",
            "telephone_number": "678-515-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HARTSFIELD CENTER PKWY STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541377",
            "telephone_number": "678-515-2148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Cairo St NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303142729",
            "country_code": "US",
            "telephone_number": "404-246-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARENCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-246-2470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GBL-0322-111158",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clarencehomecare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Hartsfield Center Pkwy Ste 500",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303541377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.