NPIMap

Organization Active NPI

Northeast Georgia Home Health III LLC

  • Home Health Agency
  • Demorest, GA
National Provider Identifier
1467136457
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHEAST GEORGIA HOME HEALTH III LLC
Practice address
157 Adams Dr
Demorest, GA 30535-4564
Phone
(706) 754-6575
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Brian D Steines
Title
Chief Financial Officer
Phone
(770) 219-1703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

157 Adams Dr
Demorest, GA 30535-4564

Mailing address

PO Box 741891
Atlanta, GA 30374-1891
Phone (706) 754-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108002672 GA Part A Provider - Home Health Agency 7214380062 Practice locations: Demorest, GA

Home health agency certification: CCN 117101

Legal name
NORTHEAST GEORGIA HOME HEALTH III LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 30, 1991
Last certification
Aug 2, 2017
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Enrollment address
157 Adams Dr
Demorest, GA 30535-4564

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northeast Georgia Home Health III, LLCCCN 117101
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 30, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0696681Northeast Georgia Home Health III, LLC157 Adams Drice, Demorest, GA 30535Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Esther Bailes Individual W-2 Managing EmployeeDirector of Reimbursement Jul 1, 2023
Brian D Steines Individual Corporate Officer Jul 1, 2023
Karen M Phillips Individual Contracted Managing EmployeeAd; Jul 1, 2023

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer HMC Home CareCCN 117101, GA, NPI 1578624185

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1467136457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741891",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741891",
            "telephone_number": "706-754-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354564",
            "telephone_number": "706-754-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA HOME HEALTH III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "STEINES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "770-219-1703"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.