Quality Care Professionals of Ga

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

QUALITY CARE PROFESSIONALS OF GA

Doing business as

Quality Care Professionals of GA

Practice address

11067 Lorin Way
Duluth, GA 30097-8482

Phone

(501) 240-3544

Fax

(470) 777-5767

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Carla Johnson, OWNER

Title

Administrator

Phone

(501) 240-3544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quality Care Professionals of GA Doing business as

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1538880950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11067 LORIN WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978482",
            "telephone_number": "501-240-3544",
            "fax_number": "470-777-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11067 LORIN WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978482",
            "telephone_number": "501-240-3544",
            "fax_number": "470-777-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PROFESSIONALS OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-240-3544",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "PHCP011649",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Professionals of GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Duluth, GA
• Providers in Duluth, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.