Organization Active NPI

Morning Star Personal Care Inc.

  • Homemaker
  • Lilburn, GA
National Provider Identifier
1649545864
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
162202887BMedicaidGA
162202887CMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.