Mid Georgia Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

117-R-1268 Issued in GA

Legal business name

MID GEORGIA HOME CARE, LLC

Practice address

10277 Industrial Blvd
Covington, GA 30014-1485

Phone

(706) 383-7779

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Rhonda Kidd Harris

Title

Executive Director

Phone

(404) 731-6061

Specialties & licenses 1

Addresses

Other names 1

• Griswold Home Care Covington-Greensboro Doing business as

Locations

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1609246586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300150309",
            "telephone_number": "706-383-7779",
            "fax_number": "470-444-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10277 INDUSTRIAL BLVD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141485",
            "telephone_number": "706-383-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID GEORGIA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "KIDD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-731-6061"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "117-R-1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care Covington-Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samill Meriwether
• Gayann Felecia Messam, NP
• Steven Messer
• Michael Anderson
• Kethy M Michel, RN
• Barbara Miles
• Kia Delease Miles, NP-C
• Tay Lynn-Marie Miles
• Adrian Miller, D.D.S.
• Chealon D Miller, MD

• Home Health Agency in Covington, GA
• Providers in Covington, 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 Oct 5, 2015; 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.