Organization Active NPI

Good Company Home Care Agency LLC

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1629711684
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD COMPANY HOME CARE AGENCY LLC
Practice address
1509 Johnson Ferry Rd Ste T4
Marietta, GA 30062-8185
Phone
(678) 570-7893
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Shondell Elliott
Title
Owner / President
Phone
(678) 570-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1509 Johnson Ferry Rd Ste T4
Marietta, GA 30062-8185

Mailing address

1509 Johnson Ferry Rd Ste T4
Marietta, GA 30062-8185
Phone (678) 570-7893

National Provider Directory

National Provider Directory

Locations

1509 Johnson Ferry Rd
Ste T4
Marietta, GA 30062
Phone (678) 570-7893

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1629711684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 JOHNSON FERRY RD STE T4",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628185",
            "telephone_number": "678-570-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 JOHNSON FERRY RD STE T4",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628185",
            "telephone_number": "678-570-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD COMPANY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SHONDELL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "678-570-7893"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2022; 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.