Active NPI
Gkhairston II LLC
Doing business as Compassion In-Home Care Services LLC
- In Home Supportive Care Agency
- Fayetteville, GA
National Provider Identifier
1447816608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GKHAIRSTON II LLC
- Doing business as
- Compassion In-Home Care Services LLC
Compassion In-Home Care Services. LLC - Practice address
- 320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443 - Phone
- (470) 625-2205
- Fax
- (470) 300-7662
- NPI assigned
- May 14, 2019
- Organization subpart
- Yes
- Parent organization
- PHCP010398
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Keith Hairston, RPH,MBA
- Title
- Ceo
- Phone
- (470) 625-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Mailing address
320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone (470) 625-2193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHCP010398 | Other | GA | STATE OF GA |
Other names 2
- Compassion In-Home Care Services LLC
- Compassion In-Home Care Services. LLC
National Provider Directory
National Provider Directory- Part of
- Gkhairston II LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1447816608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LANIER AVE W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147443",
"telephone_number": "470-625-2193",
"fax_number": "470-300-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 LANIER AVE W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147443",
"telephone_number": "470-625-2205",
"fax_number": "470-300-7662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GKHAIRSTON II LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHCP010398",
"enumeration_date": "2019-05-14",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "HAIRSTON",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "470-625-2205",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH,MBA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GA",
"identifier": "PHCP010398",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassion In-Home Care Services LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Compassion In-Home Care Services. LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Compassion In-Home Care Services. LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.