Active NPI
Just for You Personal Support Services, Inc.
- Home Health Agency
- Peachtree Corners, GA
National Provider Identifier
1457472698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 056-R-0001
- Legal business name
- JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.
- Practice address
- 3459 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-3534 - Phone
- (770) 853-4595
- Fax
- (770) 992-6769
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Lynch
- Title
- Compliance Officer
- Phone
- (470) 392-9382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 056-R-0001 | GA | Primary |
Addresses
Primary practice location
3459 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-3534
Mailing address
PO Box 117716
Atlanta, GA 30368-7716
Phone (704) 210-1917
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000792041A | Medicaid | GA | |
| 000261266B | Medicaid | GA | |
| 000702831A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Just for You Personal Support Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- College Park, GA
- NPI 1700936291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1457472698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117716",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687716",
"telephone_number": "704-210-1917",
"fax_number": "770-991-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3459 HOLCOMB BRIDGE RD STE 100",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923534",
"telephone_number": "770-853-4595",
"fax_number": "770-992-6769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2023-06-15",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "470-392-9382"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "056-R-0001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000792041A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000261266B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000702831A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.