Active NPI
Wellstar Homecare Billing, LLC
- Home Infusion Agency
- Marietta, GA
National Provider Identifier
1417935701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- PHRE008449
- Legal business name
- WELLSTAR HOMECARE BILLING, LLC
- Practice address
- 805 Sandy Plains Rd
Marietta, GA 30066-6340 - Phone
- (770) 792-1616
- Fax
- (770) 792-1785
- NPI assigned
- Jan 6, 2006
- Organization subpart
- Yes
- Parent organization
- WELLSTAR HEALTH SYSTEM, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony J Budzinski
- Title
- Acting President and Ceo
- Phone
- (770) 792-7600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | PHRE008449 | GA | Primary |
| Pharmacy | 333600000X | PHRE008449 | GA |
Addresses
Primary practice location
805 Sandy Plains Rd
Marietta, GA 30066-6340
Mailing address
805 Sandy Plains Rd
Marietta, GA 30066-6340
Phone (770) 792-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00848416B | Medicaid | GA |
Other names 1
- WellStar Homecare Services
National Provider Directory
National Provider Directory- Part of
- NW Ga Nealth Systems in
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1417935701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340",
"telephone_number": "770-792-1616",
"fax_number": "770-792-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340",
"telephone_number": "770-792-1616",
"fax_number": "770-792-1785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTAR HOMECARE BILLING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC",
"enumeration_date": "2006-01-06",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "BUDZINSKI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ACTING PRESIDENT AND CEO",
"authorized_official_telephone_number": "770-792-7600"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "GA",
"license": "PHRE008449",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "PHRE008449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00848416B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WellStar Homecare Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marietta, GA
- Wellstar Health System, Inc.
- Wellstar Health System, Inc.
- Wellstar Health System, LLC
- Wellstar Healthcare System
- Wellstar Home Health, LLC
- Wellstar Infectious Disease, LLC
- Wellstar Internal Medicine Associates of Marietta, LLC
- Wellstar Kenmar Pediatrics, LLC
- Wellstar Kennestone OB/GYN 2, LLC
- Wellstar Kennestone Pediatric Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.