Active NPI
Centrix Homecare LLC
- In Home Supportive Care Agency
- Johns Creek, GA
National Provider Identifier
1609594647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.