Tailored in-Home Care and Assistance

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TAILORED IN-HOME CARE AND ASSISTANCE

Practice address

1022 Indian Trail Lilburn Rd NW Ste C
Lilburn, GA 30047-6891

Phone

(678) 964-5436

Fax

(678) 573-6560

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Otelus

Title

Owner

Phone

(678) 964-5436

Specialties & licenses 1

Addresses

Other names 1

• Tailored In-Home Care and Assistance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Nicole Otelus

  • Behavior Technician
  • Lithonia, GA
  • NPI 1306435763
  NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1649769779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 INDIAN TRAIL LILBURN RD NW STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476891",
            "telephone_number": "678-964-5436",
            "fax_number": "678-573-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 INDIAN TRAIL LILBURN RD NW STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476891",
            "telephone_number": "678-964-5436",
            "fax_number": "678-573-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED IN-HOME CARE AND ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "OTELUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-964-5436"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailored In-Home Care and Assistance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surecare Transit LLC
• Lauren Marie Swanson
• Sycamore Wellness Group, LLC
• Ofelia C Tablan, M.D.
• Brian Taglieri, PT
• Lisa Monette Tait, LPC
• Gabrielle Talley, LPC
• Min Jie Tan, MD
• Erica Y Taylor, NP
• Kathryn Christine Taylor

• Home Health Agency in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.