Organization Active NPI

Community Horizon, LLC

  • In Home Supportive Care Agency
  • Macon, GA
National Provider Identifier
1548528797
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
011-R-1025 Issued in GA
Legal business name
COMMUNITY HORIZON, LLC
Practice address
544 Mulberry St
Suite 613
Macon, GA 31201-2770
Phone
(478) 845-3015
Fax
(478) 845-3016
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Neshanta Wilburn
Title
Ceo
Phone
(770) 490-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 011-R-1025 GA Primary

Addresses

Primary practice location

544 Mulberry St
Suite 613
Macon, GA 31201-2770

Mailing address

3725 Jailette Rd
College Park, GA 30349-1862
Phone (770) 490-9559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1548528797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 JAILETTE RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491862",
            "telephone_number": "770-490-9559",
            "fax_number": "404-766-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 MULBERRY ST",
            "address_2": "SUITE 613",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012770",
            "telephone_number": "478-845-3015",
            "fax_number": "478-845-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HORIZON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "NESHANTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-490-9559"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "011-R-1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.