Active NPI
Clarence Home Care LLC
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1417692419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GBL-0322-111158 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clarencehomecare@outlook.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Clarence Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Atlanta, GA
- NPI 1700523826
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.