A Superior Choice Medical Staffing LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

060-R-0154 Issued in GA

Legal business name

A SUPERIOR CHOICE MEDICAL STAFFING LLC

Practice address

5881 Glenridge Dr
Suite 140
Atlanta, GA 30328-5301

Phone

(404) 257-1608

Fax

(404) 257-1609

NPI assigned

Feb 2, 2015

Last updated

Jun 12, 2015By 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. Brian Lacey

Title

Ceo

Phone

(678) 464-1397

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

A Superior Choice Medical Staffing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Superior Choice Medical Staffing

  • Nursing Care Agency
  • Atlanta, GA
  • NPI 1588728117
  NPD tax ID

Locations

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1629468392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-257-1608",
            "fax_number": "404-257-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-257-1608",
            "fax_number": "404-257-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUPERIOR CHOICE MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-464-1397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-0154",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413665791A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.