Organization Active NPI

Chambers Personal Home Health Care Services LLC.

  • Personal Care Attendant
  • Fayetteville, GA
National Provider Identifier
1508502402
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.
Practice address
204 Players Cir
Fayetteville, GA 30215-1102
Phone
(404) 492-1656
NPI assigned
May 12, 2022
Organization subpart
Yes
Parent organization
COMMUNITY ADVOCATES FOR CHANGE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Ms. Jodie M Chambers, MS HCANPI 1659773729
Title
Owner
Phone
(404) 492-1656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Home Health Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278H0200X
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

204 Players Cir
Fayetteville, GA 30215-1102

Mailing address

PO Box 1875
Jonesboro, GA 30237-1875
Phone (404) 492-1656

Other names 1

  • Community Advocate for Change Inc. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1508502402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1875",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302371875",
            "telephone_number": "404-492-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PLAYERS CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151102",
            "telephone_number": "404-492-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ADVOCATES FOR CHANGE INC.",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-492-1656",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS HCA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Advocate for Change Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.