Organization Active NPI

Alexis Private Home Care, Inc.

  • In Home Supportive Care Agency
  • Gray, GA
National Provider Identifier
1598062960
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
084R0201 Issued in GA
Legal business name
ALEXIS PRIVATE HOME CARE, INC.
Practice address
211 Dolly St
Gray, GA 31032-5336
Phone
(478) 936-0293
Fax
(478) 986-0273
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mrs. Usher F James
Title
Owner
Phone
(478) 936-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 084R0201 GA Primary

Addresses

Primary practice location

211 Dolly St
Gray, GA 31032-5336

Mailing address

211 Dolly St
P.O. Box 2007
Gray, GA 31032-5336
Phone (478) 936-0293

Other identifiers 1

IdentifierTypeStateIssuer
217881829AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1598062960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DOLLY ST",
            "address_2": "P.O. BOX 2007",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325336",
            "telephone_number": "478-936-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DOLLY ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325336",
            "telephone_number": "478-936-0293",
            "fax_number": "478-986-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS PRIVATE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "USHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-936-0293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "084R0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217881829A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.