Mediator Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

036-R-1348 Issued in GA

Legal business name

MEDIATOR SENIOR CARE, LLC

Practice address

4143 Columbia Rd.
Suite B
Martinez, GA 30907

Phone

(706) 922-3601

Fax

(706) 922-3608

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mark Barlow

Title

Owner

Phone

(706) 922-3601

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care #788 Doing business as

Locations

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437679339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075405",
            "telephone_number": "706-922-3601",
            "fax_number": "706-922-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD.",
            "address_2": "SUITE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-922-3601",
            "fax_number": "706-922-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIATOR SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-922-3601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "036-R-1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care #788",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead Senior Care #788",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Martinez, GA
• Providers in Martinez, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.