Active NPI
Brikada Cares LLC
- Home Health Aide
- Dallas, GA
National Provider Identifier
1619708427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- BRIKADA CARES LLC
- Practice address
- 108 Camellia Way
Dallas, GA 30132-5522 - Phone
- (404) 514-8879
- NPI assigned
- Aug 13, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Shem Andrew Mobisa, RN
- Title
- Owner
- Phone
- (404) 514-8879
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Dallas, GA
- NPI 1679304026
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
108 Camellia Way
Dallas, GA 30132-5522
Mailing address
108 Camellia Way
Dallas, GA 30132-5522
Phone (404) 514-8879
Other names 1
NPPES NPI Registry- BRIKADA CARES
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2024.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1619708427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CAMELLIA WAY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325522",
"telephone_number": "404-514-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CAMELLIA WAY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325522",
"telephone_number": "404-514-8879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIKADA CARES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "MOBISA",
"authorized_official_first_name": "SHEM",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-514-8879",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRIKADA CARES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.