Active NPI
Mig Home Care
- Adult Care Home Facility
- Loganville, GA
National Provider Identifier
1508611039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- MIG HOME CARE
- Practice address
- 1875 Logan Ridge Cir
Loganville, GA 30052-8170 - Phone
- (404) 287-8053
- NPI assigned
- Apr 18, 2024
- 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
- Mr. Olayemi Ayetigbo
- Title
- Owner
- Phone
- (404) 287-8053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1875 Logan Ridge Cir
Loganville, GA 30052-8170
Mailing address
1875 Logan Ridge Cir
Loganville, GA 30052-8170
Phone (404) 287-8053
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1508611039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 LOGAN RIDGE CIR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528170",
"telephone_number": "404-287-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 LOGAN RIDGE CIR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528170",
"telephone_number": "404-287-8053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIG HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "AYETIGBO",
"authorized_official_first_name": "OLAYEMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-287-8053",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.