Homecare & Medical Systems of Georgia Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

047R0036 Issued in GA

Legal business name

HOMECARE & MEDICAL SYSTEMS OF GEORGIA INC

Practice address

1303 E Union St Ste B
Vienna, GA 31092-7540

Phone

(404) 844-9975

Fax

(888) 687-4829

NPI assigned

Apr 6, 2010

Last updated

Mar 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Echebelem

Title

Operating Officer

Phone

(404) 844-9975

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1497070197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 WASHINGTON RD",
            "address_2": "SUITE B-114",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045939",
            "telephone_number": "404-552-4361",
            "fax_number": "229-888-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E UNION ST STE B",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927540",
            "telephone_number": "404-844-9975",
            "fax_number": "888-687-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE & MEDICAL SYSTEMS OF GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "ECHEBELEM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "404-844-9975"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "047R0036",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Vienna, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.