Athens Ga Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ATHENS GA HOMECARE, LLC

Practice address

855 Sunset Dr Ste 19
Athens, GA 30606-2267

Phone

(678) 710-8238

Fax

(678) 866-2033

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By 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

Jacob Kimball Buffington, MHA

Title

Executive Director

Phone

(678) 710-8238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1629630793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR STE 19",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062267",
            "telephone_number": "678-710-8238",
            "fax_number": "678-866-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR STE 19",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062267",
            "telephone_number": "678-710-8238",
            "fax_number": "678-866-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS GA HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "KIMBALL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-710-8238",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Athens, GA
• Providers in Athens, 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 28, 2019; 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.