Organization Active NPI

Centrix Homecare LLC

  • In Home Supportive Care Agency
  • Johns Creek, GA
National Provider Identifier
1609594647
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CENTRIX HOMECARE LLC
Practice address
11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456
Phone
(678) 427-8715
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Authorized official

Name
Stanley Abiri
Title
Owner/President
Phone
(678) 427-8715

Specialties & licenses 1

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

Addresses

Primary practice location

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456

Mailing address

3905 Johns Creek CT Ste 250a
Suwanee, GA 30024-1226
Phone (770) 674-5217

National Provider Directory

National Provider Directory

Locations

3905 Johns Creek Ct
Ste 250A
Suwanee, GA 30024

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1609594647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 250A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241226",
            "telephone_number": "770-674-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972456",
            "telephone_number": "678-427-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIX HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "ABIRI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-427-8715"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.