Organization Active NPI

Namsara Homecare Services LLC

  • In Home Supportive Care Agency
  • Stone Mountain, GA
National Provider Identifier
1669927380
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
067R1484 Issued in GA
Legal business name
NAMSARA HOMECARE SERVICES LLC
Practice address
5151 Vivid Dr
Stone Mountain, GA 30087-3427
Phone
(678) 992-6780
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Duku Maya Samal
Title
Administrator
Phone
(678) 992-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 067R1484 GA Primary

Addresses

Primary practice location

5151 Vivid Dr
Stone Mountain, GA 30087-3427

Mailing address

5151 Vivid Dr
Stone Mountain, GA 30087-3427
Phone (678) 992-6780

National Provider Directory

National Provider Directory

Locations

2346 Wisteria Dr
Ste 220
Snellville, GA 30078
Phone (912) 520-0915

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1669927380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 VIVID DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873427",
            "telephone_number": "678-992-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 VIVID DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873427",
            "telephone_number": "678-992-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMSARA HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SAMAL",
        "authorized_official_first_name": "DUKU",
        "authorized_official_middle_name": "MAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-992-6780"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067R1484",
            "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 Aug 23, 2016; 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.