Community 1St Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY 1ST HOME HEALTHCARE LLC

Practice address

4015 Broadleaf Walk
Ellenwood, GA 30294-1995

Phone

(404) 246-3454

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Keyuana Davis

Title

Owner

Phone

(404) 246-3454

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1447970918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 BROADLEAF WALK",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941995",
            "telephone_number": "404-246-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 BROADLEAF WALK",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941995",
            "telephone_number": "404-246-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY 1ST HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEYUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-246-3454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "community1sthomehealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4015 Broadleaf Walk",
            "city": "Ellenwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302941995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitzi Clayton, M.D.
• Angela N Cleveland
• Charles V Clopton, Jr, M.D.
• Pashuen M Cobb, PHARMD
• Coleman & Stallworth Real Estate Holding, LLC
• Community 1St Homecare LLC
• Consumers Care Corporation
• Carthia C Cox, LPC, CRC
• Jessica Cox
• Jouan Arlonze' Cox, DPT

• Home Health Agency in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.