Active NPI
Chambers Personal Home Health Care Services LLC.
- Personal Care Attendant
- Fayetteville, GA
National Provider Identifier
1508502402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jodie M Chambers, MS HCA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Home Health Certified Respiratory Therapist | 2278H0200X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 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.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Fayetteville, GA
- NPI 1659773729
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.