Organization Active NPI

Mutatio Worldwide LLC

  • Home Health Agency
  • Dallas, GA
National Provider Identifier
1427930247
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUTATIO WORLDWIDE LLC
Doing business as
Mutatio Worldwide LLC
Practice address
457 Nathan Dean Blvd Ste 105-357
Dallas, GA 30132-4911
Phone
(706) 883-5656
Fax
(706) 883-5656
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Authorized official

Name
Mr. Dennis Tyrone Jenkins
Title
President
Phone
(770) 589-2141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Delivered Meals 332U00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

457 Nathan Dean Blvd Ste 105-357
Dallas, GA 30132-4911

Mailing address

457 Nathan Dean Blvd Ste 105-357
Dallas, GA 30132-4911
Phone (706) 883-5656

Other names 1

  • Mutatio Worldwide LLC Doing business as

National Provider Directory

National Provider Directory

Locations

457 Nathan Dean Blvd
Ste 105357
Dallas, GA 30132
Phone (706) 883-5656

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1427930247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NATHAN DEAN BLVD STE 105-357",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324911",
            "telephone_number": "706-883-5656",
            "fax_number": "706-883-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 NATHAN DEAN BLVD STE 105-357",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324911",
            "telephone_number": "706-883-5656",
            "fax_number": "706-883-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTATIO WORLDWIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-589-2141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mutatio Worldwide LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.