Individual provider Active NPI

Valerie Darling

  • In Home Supportive Care Agency
  • Flowery Branch, GA
National Provider Identifier
1629840863
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
069-R-0978 Issued in GA
Practice address
5609 Main St Ste B
Flowery Branch, GA 30542-5652
Phone
(770) 965-4004
Fax
(888) 765-0562
NPI assigned
Oct 23, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 069-R-0978 GA Primary

Addresses

Primary practice location

5609 Main St Ste B
Flowery Branch, GA 30542-5652

Mailing address

5609 Main St Ste B
Flowery Branch, GA 30542-5652
Phone (770) 965-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
069-R-0978GAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Home Care Matters In Home Supportive Care CurrentSince May 19, 2024 Accepting new patients

Locations

5609 Main St
Ste B
Flowery Branch, GA 30542
Phone (770) 965-4004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1629840863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 MAIN ST STE B",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425652",
            "telephone_number": "770-965-4004",
            "fax_number": "888-765-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 MAIN ST STE B",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425652",
            "telephone_number": "770-965-4004",
            "fax_number": "888-765-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLING",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "069-R-0978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.