123 Ga Home Heathcare LLLP

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

123 GA HOME HEATHCARE LLLP

Practice address

767 North Ave
Jonesboro, GA 30236-2232

Phone

(678) 846-9557

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By 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

Mr. Derrick Whisby

Title

Executive Director

Phone

(470) 554-6864

Specialties & licenses 1

Addresses

Other names 1

• 123 Ga Home HealthCare Former legal business name

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1609690312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 NORTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362232",
            "telephone_number": "678-846-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 NORTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362232",
            "telephone_number": "678-846-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 GA HOME HEATHCARE LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "WHISBY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "470-554-6864",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 Ga Home HealthCare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 123 Ga Home Healthcare, LLLP (123 GA Home Healthcare)
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• 4 Sisters That Care
• 404 Transport, LLC
• 5 Star EMS Transport, LLC
• A & F McNeal Group, Inc

• Non-emergency Medical Transport (VAN) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.