Mending Homes Care Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MENDING HOMES CARE SERVICES LLC

Practice address

12 Watermist Loop
Dallas, GA 30132-7590

Phone

(678) 631-8121

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Derek Holloway

Title

Owner

Phone

(678) 631-8121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1548036171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WATERMIST LOOP",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301327590",
            "telephone_number": "678-631-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WATERMIST LOOP",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301327590",
            "telephone_number": "678-631-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HOMES CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-631-8121"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravonda Medley
• Ashley Meeks, NP
• Isabella Dion Meeks, DC
• Autumn T Megan, MSOT
• Shacey Lynn Melson
• Miguel Meraz, DC
• Natalie Ann Mercado, PA-C
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• Cameisha Ailean Merriweather, LCSW

• Nursing Care Agency in Dallas, GA
• Providers in Dallas, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.