Aphrodite Henderson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3580 Pine Forest Dr SE
Atlanta, GA 30354-3425

Phone

(678) 499-2683

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Life Management LLC

  • Developmentally Disabled Services Day Training Agency
  • Atlanta, GA
  • NPI 1265278204

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1477201861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PINE FOREST DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303543425",
            "telephone_number": "678-499-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PINE FOREST DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303543425",
            "telephone_number": "678-499-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "APHRODITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aasha Cecily Henderson
• Alexander Rahshawn Henderson
• Alicia Henderson, ATC, OTC
• Amber Millette Henderson, M.D.
• Angel Henderson
• Candace Deanna Henderson, RN
• Carolyn Jordan Henderson, MD
• Charles Haddon Henderson
• Dana Hughes Henderson, PH.D.
• Darlene Jane Henderson

• Case Manager/Care Coordinator in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.