NPIMap

Organization Active NPI

Jack Redmond Home Care Inc.

Doing business as Griswold Home Care Atlanta NW

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1619339793
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
033-R-0048 Issued in GA
Legal business name
JACK REDMOND HOME CARE INC.
Doing business as
Griswold Home Care Atlanta NW
Practice address
1000 Whitlock Ave NW Ste 320
Marietta, GA 30064-5449
Phone
(770) 427-8606
Fax
(770) 427-7207
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Miss Kathleen Harris Nelson
Title
Director
Phone
(770) 427-8606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 033-R-0048 GA Primary

Addresses

Primary practice location

1000 Whitlock Ave NW Ste 320
Marietta, GA 30064-5449

Mailing address

1000 Whitlock Ave NW Ste 320
Marietta, GA 30064-5449
Phone (770) 427-8606

Other names 1

  • Griswold Home Care Atlanta NW Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1619339793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITLOCK AVE NW STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645449",
            "telephone_number": "770-427-8606",
            "fax_number": "770-427-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITLOCK AVE NW STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645449",
            "telephone_number": "770-427-8606",
            "fax_number": "770-427-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK REDMOND HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-427-8606",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care Atlanta NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.