Organization Active NPI

Family Affair Home Services LLC

  • In Home Supportive Care Agency
  • Mableton, GA
National Provider Identifier
1669213336
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY AFFAIR HOME SERVICES LLC
Practice address
5701 Mableton Pkwy SW Ste 312
Mableton, GA 30126-3362
Phone
(314) 441-0104
Fax
(855) 274-4559
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Sharaela O Riggens
Title
Director
Phone
(314) 441-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5701 Mableton Pkwy SW Ste 312
Mableton, GA 30126-3362

Mailing address

5701 Mableton Pkwy SW Ste 312
Mableton, GA 30126-3362
Phone (314) 441-0104

Other names 1

  • FAMILY AFFAIR HOME SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5701 Mableton Pkwy SW
Ste 312
Mableton, GA 30126
Phone (314) 441-0104

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1669213336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 MABLETON PKWY SW STE 312",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263362",
            "telephone_number": "314-441-0104",
            "fax_number": "855-274-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 MABLETON PKWY SW STE 312",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263362",
            "telephone_number": "314-441-0104",
            "fax_number": "855-274-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AFFAIR HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "RIGGENS",
        "authorized_official_first_name": "SHARAELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-441-0104"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY AFFAIR HOME SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.