Positive Care Personal Care Home, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

POSITIVE CARE PERSONAL CARE HOME, INC

Doing business as

Robert R. Williams Center for Veterans Rehabilitation & Aide

Practice address

212 Willis Dr
Stockbridge, GA 30281-7272

Phone

(770) 507-0123

Fax

(770) 507-7021

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 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

Mary L Williams

Title

Executive Director

Phone

(678) 467-1087

Specialties & licenses 1

Addresses

Other names 1

• Robert R. Williams Center for Veterans Rehabilitation & Aide Doing business as

Tax ID family

Positive Care Personal Care Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Positive Care Personal Care Home, Inc

  dba Positive Care Private Home Care, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stockbridge, GA
  • NPI 1730601121
  NPD tax ID

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1508546961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WILLIS DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817272",
            "telephone_number": "770-507-0123",
            "fax_number": "770-507-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WILLIS DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817272",
            "telephone_number": "770-507-0123",
            "fax_number": "770-507-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CARE PERSONAL CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-467-1087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert R. Williams Center for Veterans Rehabilitation & Aide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary V Poore, L.C.S.W
• D'Amber Shaunise Porter
• Jake J Porter III, M.D., MPH
• Karen Anne Porter, P.T.
• Sandra Porter, LPC, NCC
• Positive Care Personal Care Home, Inc (Positive Care Private Home Care, Inc)
• Post Bump Doula Services
• Keyanne Potter
• Valeria Dixon Powell, LPN
• Ellie Morgan Gray Powner

• Home Health Agency in Stockbridge, GA
• Providers in Stockbridge, 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 Jul 20, 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.