Active NPI
At My Place, My Home LLC
- Home Health Agency
- Grayson, GA
National Provider Identifier
1659835957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AT MY PLACE, MY HOME LLC
- Practice address
- 483 Glenns Farm LN
Grayson, GA 30017-4921 - Phone
- (470) 848-2982
- NPI assigned
- Jan 31, 2019
- Last updated
- Jul 7, 2023
- 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
- Doree Igman
- Title
- Owner
- Phone
- (470) 848-2982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
483 Glenns Farm LN
Grayson, GA 30017-4921
Mailing address
3050 Five Forks Trickum Rd SW Ste D
Lilburn, GA 30047-5067
Phone (470) 848-2982
National Provider Directory
National Provider DirectoryLocations
3050 Five Forks Trickum Rd SW
Ste D
Lilburn, GA 30047
Phone (678) 346-6940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688688000000",
"number": "1659835957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 FIVE FORKS TRICKUM RD SW STE D",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475067",
"telephone_number": "470-848-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 GLENNS FARM LN",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174921",
"telephone_number": "470-848-2982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT MY PLACE, MY HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A",
"authorized_official_last_name": "IGMAN",
"authorized_official_first_name": "DOREE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-848-2982"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.