Organization Active NPI

Blessed Hands Private Care

  • In Home Supportive Care Agency
  • Redan, GA
National Provider Identifier
1487901138
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLESSED HANDS PRIVATE CARE
Practice address
1544 Wellborn Rd.374
Redan, GA 30074
Phone
(770) 609-8427
Fax
(770) 609-8427
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Keyma Kenyatta Towles
Title
Co-Owner
Phone
(770) 609-8427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X 056926271 GA

Addresses

Primary practice location

1544 Wellborn Rd.374
Redan, GA 30074

Mailing address

1544 Wellborn Rd.374
Redan, GA 30074
Phone (770) 609-8427

National Provider Directory

National Provider Directory

Locations

1544 Wellborn Rd
Unit 374
Lithonia, GA 30074
Phone (770) 609-8427

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1487901138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WELLBORN RD.374",
            "city": "REDAN",
            "state": "GA",
            "postal_code": "30074",
            "telephone_number": "770-609-8427",
            "fax_number": "770-609-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WELLBORN RD.374",
            "city": "REDAN",
            "state": "GA",
            "postal_code": "30074",
            "telephone_number": "770-609-8427",
            "fax_number": "770-609-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "TOWLES",
        "authorized_official_first_name": "KEYMA",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-609-8427"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "056926271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.