Active NPI
Elarvetta Homecare
- Home Health Agency
- Stockbridge, GA
National Provider Identifier
1548936503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELARVETTA HOMECARE
- Practice address
- 115 Ashland GRV
Stockbridge, GA 30281-6482 - Phone
- (678) 399-9628
- NPI assigned
- Aug 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taquaija Perryman
- Title
- Ceo
- Phone
- (678) 399-9628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
115 Ashland GRV
Stockbridge, GA 30281-6482
Mailing address
115 Ashland GRV
Stockbridge, GA 30281-6482
Phone (678) 399-9628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clientfiles@elvetta.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1548936503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ASHLAND GRV",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816482",
"telephone_number": "678-399-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ASHLAND GRV",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816482",
"telephone_number": "678-399-9628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELARVETTA HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "PERRYMAN",
"authorized_official_first_name": "TAQUAIJA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-399-9628"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clientfiles@elvetta.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 Ashland Grv",
"city": "Stockbridge",
"state": "GA",
"country_code": "US",
"postal_code": "302816482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.