Tallapoosa Home Care Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TALLAPOOSA HOME CARE CO

Practice address

1031 Cambridge SQ Ste a
Alpharetta, GA 30009-1869

Phone

(770) 574-9126

Fax

(888) 501-6340

NPI assigned

Jul 6, 2006

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Anthony Smith, C.O., L.O.

Title

Owner/C.O.O

Phone

(404) 538-5921

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1447282066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CAMBRIDGE SQ STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091869",
            "telephone_number": "770-574-9126",
            "fax_number": "888-501-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CAMBRIDGE SQ STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091869",
            "telephone_number": "770-574-9126",
            "fax_number": "888-501-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAPOOSA HOME CARE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/C.O.O",
        "authorized_official_telephone_number": "404-538-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O., L.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798679525A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.