Erica Breann McCrae

Primary specialty

HomemakerTaxonomy code 376J00000X

License

PHCP011550 Issued in GA

Practice address

808 Pavilion CT Ste a
McDonough, GA 30253-6666

Phone

(678) 304-6481

NPI assigned

Jun 28, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team McCrae Enterprises Incorporated

  dba Homewatch CareGivers of McDonough

  • In Home Supportive Care Agency
  • McDonough, GA
  • NPI 1649917410
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1447937909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PAVILION CT STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "678-304-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PAVILION CT STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "678-304-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "ERICA",
        "middle_name": "BREANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "PHCP011550",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "PHCP011550",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "PHCP011550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxx Life Support Services LLC
• Kayla Nicole Mays, RPH
• Kwasi Mbwana
• Angel Joy McCaskill
• Alex Chebron McCollum
• Xavier M McCullough, PTA
• Wanda McDaniel, FNP-C
• Alvin O McDonald, NP-C
• Christen Peeper McDonald, PHD, LPC, ACS
• Donna Marie McDonald, NCC, LAPC

• Homemaker in McDonough, GA
• Providers in McDonough, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.