Senior Home Care Group LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SENIOR HOME CARE GROUP LLC

Practice address

450 Pintail CT
Suwanee, GA 30024-6072

Phone

(770) 825-3380

Fax

(470) 709-2794

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 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

Lydia K KimNPI 1184192627

Title

Owner/Administrator

Phone

(770) 825-3380

Specialties & licenses 1

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.

• Lydia K Kim

  • Home Health Aide
  • Suwanee, GA
  • NPI 1184192627

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1598233041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PINTAIL CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246072",
            "telephone_number": "770-825-3380",
            "fax_number": "470-709-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PINTAIL CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246072",
            "telephone_number": "770-825-3380",
            "fax_number": "470-709-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-825-3380"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.