Active NPI
Morning Star Personal Care Inc.
- Homemaker
- Lilburn, GA
National Provider Identifier
1649545864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- MORNING STAR PERSONAL CARE INC.
- Practice address
- 2193 Hudson Dr SW
Lilburn, GA 30047-4722 - Phone
- (678) 982-3585
- NPI assigned
- Mar 21, 2012
- Last updated
- Mar 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Huley
- Title
- Owner/Business Office Manager
- Phone
- (678) 982-3585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
2193 Hudson Dr SW
Lilburn, GA 30047-4722
Mailing address
PO Box 477
Snellville, GA 30078-0477
Phone (678) 982-3585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162202887B | Medicaid | GA | |
| 162202887C | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1649545864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300780477",
"telephone_number": "678-982-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2193 HUDSON DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474722",
"telephone_number": "678-982-3585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR PERSONAL CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "HULEY",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER/BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "678-982-3585",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162202887B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162202887C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.