Organization Active NPI

Henry's Personal Care Home Inc.

  • Community Based Hospice Care Agency
  • Jonesboro, GA
National Provider Identifier
1639392137
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HENRY'S PERSONAL CARE HOME INC.
Practice address
305 Chase Woods Cir
Jonesboro, GA 30236-2091
Phone
(770) 210-1744
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gloria Henry
Title
Owner
Phone
(770) 210-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X GA Primary

Addresses

Primary practice location

305 Chase Woods Cir
Jonesboro, GA 30236-2091

Mailing address

305 Chase Woods Cir
Jonesboro, GA 30236-2091
Phone (770) 210-1744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639392137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CHASE WOODS CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362091",
            "telephone_number": "770-210-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHASE WOODS CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362091",
            "telephone_number": "770-210-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY'S PERSONAL CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-210-1744"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.