Organization Active NPI

Willow Heart Home Care LLC

  • In Home Supportive Care Agency
  • Peachtree City, GA
National Provider Identifier
1528944121
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WILLOW HEART HOME CARE LLC
Practice address
304 Whitcomb HL
Peachtree City, GA 30269-1346
Phone
(651) 335-8092
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Srikanth Pemaraj
Title
Owner/President
Phone
(651) 335-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

304 Whitcomb HL
Peachtree City, GA 30269-1346

Mailing address

304 Whitcomb HL
Peachtree City, GA 30269-1346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1528944121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WHITCOMB HL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WHITCOMB HL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691346",
            "telephone_number": "651-335-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "PEMARAJ",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "651-335-8092"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.