Procare Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110-R-0812 Issued in GA

Legal business name

PROCARE HEALTHCARE INC.

Practice address

77 Wellsley Way
Dallas, GA 30132-9775

Phone

(678) 698-0731

NPI assigned

Jul 21, 2012

Last updated

Jan 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph C. Duru, BS. RT(R),CNMT

Title

Administrator

Phone

(678) 698-0731

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trisha Duru, FNP

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1144781592
  NPD (past)

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1558616946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WELLSLEY WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329775",
            "telephone_number": "678-698-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WELLSLEY WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329775",
            "telephone_number": "678-698-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-21",
        "last_updated": "2018-01-28",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-698-0731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS. RT(R),CNMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "110-R-0812",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "110-R-0812",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "110-R-0812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, GA
• Providers in Dallas, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.