I-Care Private Home Care Services, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

149168 Issued in GA

Legal business name

I-CARE PRIVATE HOME CARE SERVICES, LLC

Practice address

155 Westridge Pkwy
Suite #208
McDonough, GA 30253-3049

Phone

(678) 687-7152

Fax

(678) 509-8103

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Alrene Allen-Martin, RNNPI 1699967851

Title

Ceo

Phone

(678) 687-7152

Specialties & licenses 15

Addresses

Tax ID family

I-Care Private Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I-Care Private Home Care Services, LLC

  • Nursing Care Agency
  • Ellenwood, GA
  • NPI 1437328796
  NPD tax ID

Locations

Practitioners 1

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

• Alrene M Allen-Martin, RN

  • Registered Nurse
  • McDonough, GA
  • NPI 1699967851

  Community Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1497044416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE #208",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533049",
            "telephone_number": "678-687-7152",
            "fax_number": "678-509-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE #208",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533049",
            "telephone_number": "678-687-7152",
            "fax_number": "678-509-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-CARE PRIVATE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN-MARTIN",
        "authorized_official_first_name": "ALRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-687-7152",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "149168",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "149168",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in McDonough, GA
• Providers in McDonough, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.