Active NPI
Benrose Homecare Services LLC
- In Home Supportive Care Agency
- Stockbridge, GA
National Provider Identifier
1508450958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BENROSE HOMECARE SERVICES LLC
- Practice address
- 2105 Palatine PL
Stockbridge, GA 30281-9129 - Phone
- (404) 518-1140
- Fax
- (404) 973-3242
- NPI assigned
- Feb 25, 2021
- Last updated
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chima L Njoku
- Title
- Administrator
- Phone
- (404) 518-1140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
2105 Palatine PL
Stockbridge, GA 30281-9129
Mailing address
2105 Palatine PL
Stockbridge, GA 30281-9129
Phone (404) 518-1140
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1508450958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 PALATINE PL",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819129",
"telephone_number": "404-518-1140",
"fax_number": "404-973-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 PALATINE PL",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819129",
"telephone_number": "404-518-1140",
"fax_number": "404-973-3242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENROSE HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A",
"authorized_official_last_name": "NJOKU",
"authorized_official_first_name": "CHIMA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "404-518-1140"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.