NPIMap

Organization Active NPI

I-Care Private Home Care Services, LLC

  • Nursing Care Agency
  • Ellenwood, GA
National Provider Identifier
1437328796
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
149168 Issued in GA
Legal business name
I-CARE PRIVATE HOME CARE SERVICES, LLC
Practice address
256 Lassiter Dr
Ellenwood, GA 30294-2983
Phone
(678) 663-9597
Fax
(770) 474-3076
NPI assigned
Feb 20, 2008
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mrs. Alrene Allen-Martin, RNNPI 1699967851
Title
Ceo/Manager
Phone
(678) 687-7152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 149168 GA Primary
Skilled Nursing Facility 314000000X GA

Addresses

Primary practice location

256 Lassiter Dr
Ellenwood, GA 30294-2983

Mailing address

256 Lassiter Dr
Ellenwood, GA 30294-2983
Phone (678) 687-7152

National Provider Directory

National Provider Directory
Tax ID family
I-Care Private Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1437328796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LASSITER DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942983",
            "telephone_number": "678-687-7152",
            "fax_number": "770-474-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 LASSITER DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942983",
            "telephone_number": "678-663-9597",
            "fax_number": "770-474-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-CARE PRIVATE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN-MARTIN",
        "authorized_official_first_name": "ALRENE",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "678-687-7152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "149168",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.