Organization Active NPI

Selam Homecare LLC

  • In Home Supportive Care Agency
  • Stone Mountain, GA
National Provider Identifier
1629920566
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELAM HOMECARE LLC
Practice address
533 Tallwood Dr
Stone Mountain, GA 30083-4429
Phone
(404) 561-8705
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Azeb G Adugna
Title
Owner/Administrator
Phone
(404) 561-8705

Specialties & licenses 1

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

Addresses

Primary practice location

533 Tallwood Dr
Stone Mountain, GA 30083-4429

Mailing address

533 Tallwood Dr
Stone Mountain, GA 30083-4429
Phone (404) 561-8705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1629920566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 TALLWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834429",
            "telephone_number": "404-561-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 TALLWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834429",
            "telephone_number": "404-561-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAM HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "ADUGNA",
        "authorized_official_first_name": "AZEB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "404-561-8705"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.