Giddens Development Group, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GIDDENS DEVELOPMENT GROUP, LLC

Doing business as

Caring Senior Service Atlanta North

Practice address

2400 Herodian Way SE Ste 340
Smyrna, GA 30080-8506

Phone

(770) 599-2066

Fax

(770) 580-1612

NPI assigned

Jul 6, 2023

Organization subpart

Yes

Parent organization

GIDDENS DEVELOPMENT GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Willie Giddens, RN

Title

Owner/President

Phone

(770) 599-2066

Specialties & licenses 1

Addresses

Other names 1

• Caring Senior Service Atlanta North Doing business as

Part of

Giddens Development Group LLC

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1649958109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 340",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808506",
            "telephone_number": "770-599-2066",
            "fax_number": "770-580-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 340",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808506",
            "telephone_number": "770-599-2066",
            "fax_number": "770-580-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDDENS DEVELOPMENT GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIDDENS DEVELOPMENT GROUP, LLC",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GIDDENS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-599-2066",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service Atlanta North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.