Organization Active NPI

Brikada Cares LLC

  • Home Health Aide
  • Dallas, GA
National Provider Identifier
1619708427
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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, RNNPI 1679304026
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.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

NPPES NPI Registry

Primary 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 Other name

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.

Verify at the official NPI Registry.