Organization Active NPI

One-to-One Home Care LLC

  • Home Health Aide
  • Marietta, GA
National Provider Identifier
1568009447
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ONE-TO-ONE HOME CARE LLC
Practice address
2470 Windy Hill Rd SE Ste 268
Marietta, GA 30067-8620
Phone
(770) 694-1777
Fax
(678) 503-2292
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mr. Alfred Fornah
Title
Owner
Phone
(770) 694-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2470 Windy Hill Rd SE Ste 268
Marietta, GA 30067-8620

Mailing address

2470 Windy Hill Rd SE Ste 268
Marietta, GA 30067-8620
Phone (770) 694-1777

Other identifiers 1

IdentifierTypeStateIssuer
1932677812MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https Direct

National Provider Directory

National Provider Directory

Locations

2470 Windy Hill Rd SE
Ste 268
Marietta, GA 30067
Phone (770) 953-5852

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1568009447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 268",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678620",
            "telephone_number": "770-694-1777",
            "fax_number": "678-503-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 268",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678620",
            "telephone_number": "770-694-1777",
            "fax_number": "678-503-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE-TO-ONE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "FORNAH",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-694-1777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932677812",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https",
            "affiliation": "N",
            "endpointDescription": "https",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2470 Windy Hill Rd SE Ste 268",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.