Organization Active NPI

Express Professional Homecare,LLC.

  • Home Health Agency
  • Tucker, GA
National Provider Identifier
1427789056
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXPRESS PROFESSIONAL HOMECARE,LLC.
Practice address
3469 Lawrenceville Hwy Ste 300
Tucker, GA 30084-5890
Phone
(678) 292-6651
Fax
(678) 292-6702
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Venula Rhone, RN
Title
Owner
Phone
(678) 292-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3469 Lawrenceville Hwy Ste 300
Tucker, GA 30084-5890

Mailing address

3469 Lawrenceville Hwy Ste 300
Tucker, GA 30084-5890
Phone (678) 292-6651

Other identifiers 1

IdentifierTypeStateIssuer
00000XMedicaidGA

National Provider Directory

National Provider Directory

Locations

3469 Lawrenceville Hwy
Ste 300
Tucker, GA 30084
Phone (678) 292-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1427789056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 LAWRENCEVILLE HWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845890",
            "telephone_number": "678-292-6651",
            "fax_number": "678-292-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 LAWRENCEVILLE HWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845890",
            "telephone_number": "678-292-6651",
            "fax_number": "678-292-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PROFESSIONAL HOMECARE,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "RHONE",
        "authorized_official_first_name": "VENULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-292-6651",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.