MBC Care LLC Dba Emerald Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MBC CARE LLC DBA EMERALD HOME CARE

Practice address

1917 Kensington High St SW
Lilburn, GA 30047-2523

Phone

(404) 694-1445

Fax

(770) 686-3600

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Michell Anne CapodannoNPI 1285223214

Title

Owner

Phone

(404) 694-1445

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michell Anne Capodanno

  • Home Health Agency
  • Lilburn, GA
  • NPI 1285223214
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1477136158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 KENSINGTON HIGH ST SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472523",
            "telephone_number": "404-694-1445",
            "fax_number": "770-686-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 KENSINGTON HIGH ST SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472523",
            "telephone_number": "404-694-1445",
            "fax_number": "770-686-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC CARE LLC DBA EMERALD HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CAPODANNO",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-694-1445"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TF1019",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U11019",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T1019",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2601:c8:c280:ac50::16c",
            "affiliation": "N",
            "address_1": "1917 Kensington High St SW",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300472523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shellis Martin
• Jennie Mathen, NP-C
• Matrix Rehabilitation-Georgia Inc
• Michael E Mayfield, M.D.
• Immani Mays, FNP-C
• Sharlene Hilton McClendon, LPC
• Jacob McClure
• Robert McClure III, M.D.
• Harry W McCool, DDS
• Antionette McCutchen

• Home Health Agency in Lilburn, GA
• Providers in Lilburn, 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 May 5, 2021; 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.