Active NPI
Express Professional Homecare,LLC.
- Home Health Agency
- Tucker, GA
National Provider Identifier
1427789056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 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
- Venula Rhone, RN
- Title
- Owner
- Phone
- (678) 292-6651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000X | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Tucker, GA
- NPI 1760331029
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.