Organization Active NPI

Real McCoy Home Care LLC

  • Home Health Agency
  • Roswell, GA
National Provider Identifier
1467988865
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REAL MCCOY HOME CARE LLC
Practice address
760 Old Roswell Rd Ste 113
Roswell, GA 30076-8684
Phone
(404) 536-1060
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Pranav Patel
Title
President
Phone
(404) 536-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

760 Old Roswell Rd Ste 113
Roswell, GA 30076-8684

Mailing address

5740 Asby Way
Cumming, GA 30040-0638
Phone (404) 536-1060

National Provider Directory

National Provider Directory

Locations

760 Old Roswell Rd
Ste 113
Roswell, GA 30076
Phone (404) 536-1060

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1467988865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 ASBY WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400638",
            "telephone_number": "404-536-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 113",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768684",
            "telephone_number": "404-536-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL MCCOY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-536-1060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.