Pink Hearts Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110-R-2029 Issued in GA

Legal business name

PINK HEARTS HOME CARE SERVICES, LLC

Practice address

214 N Beckman CT
Dallas, GA 30132-0417

Phone

(404) 825-0770

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Latoya Lashelle ShepherdNPI 1447765722

Title

Owner

Phone

(404) 825-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Latoya Lashelle Shepherd

  • Home Health Agency
  • Dallas, GA
  • NPI 1447765722
  NPD (past) Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1508347246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N BECKMAN CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N BECKMAN CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320417",
            "telephone_number": "404-825-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK HEARTS HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "LASHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-825-0770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "110-R-2029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDER",
            "identifier": "T180003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Connie Lynne Plunkett-Thompson, LPC
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• Home Health Agency in Dallas, GA
• Providers in Dallas, 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 Aug 21, 2018; 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.