Organization Active NPI

Personal Growth Healthcare, LLC

  • Nursing Care Agency
  • Locust Grove, GA
National Provider Identifier
1508753591
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PERSONAL GROWTH HEALTHCARE, LLC
Practice address
1708 Hingham Circle
Locust Grove, GA 30248-3458
Phone
(678) 915-2508
Fax
(678) 915-2511
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Authorized official

Name
Mr. Freypell Fabien
Title
Co-Owner
Phone
(678) 915-2508

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1708 Hingham Circle
Locust Grove, GA 30248-3458

Mailing address

1708 Hingham Circle
Locust Grove, GA 30248-3458
Phone (678) 915-2508

Other names 1

  • Private Home Care Providers Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751760000000",
    "number": "1508753591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 HINGHAM CIRCLE",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483458",
            "telephone_number": "678-915-2508",
            "fax_number": "678-915-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 HINGHAM CIRCLE",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483458",
            "telephone_number": "678-915-2508",
            "fax_number": "678-915-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL GROWTH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A",
        "authorized_official_last_name": "FABIEN",
        "authorized_official_first_name": "FREYPELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "678-915-2508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Home Care Providers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.