Active NPI
Home Healthcare/CPR Services
- Nursing Care Agency
- Stone Mountain, GA
National Provider Identifier
1669770087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- RN070868
- Legal business name
- HOME HEALTHCARE/CPR SERVICES
- Practice address
- 805 Mountain Oaks Pkwy
Stone Mountain, GA 30087-4744 - Phone
- (678) 571-7890
- Fax
- (678) 580-0462
- NPI assigned
- Mar 9, 2011
- Last updated
- Mar 10, 2011
- 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
- Ila Renee Reese
- Title
- Ceo
- Phone
- (678) 571-7890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | RN070868 | GA | Primary |
Addresses
Primary practice location
805 Mountain Oaks Pkwy
Stone Mountain, GA 30087-4744
Mailing address
PO Box 870984
Stone Mountain, GA 30087-0025
Phone (678) 571-7890
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1669770087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870984",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300870025",
"telephone_number": "678-571-7890",
"fax_number": "678-580-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MOUNTAIN OAKS PKWY",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874744",
"telephone_number": "678-571-7890",
"fax_number": "678-580-0462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTHCARE/CPR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "ILA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-571-7890"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "RN070868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.