Organization Active NPI

My Care Inc

  • In Home Supportive Care Agency
  • Tucker, GA
National Provider Identifier
1679001366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY CARE INC
Practice address
2615 Mountain Industrial Blvd Ste 11
Tucker, GA 30084-3070
Phone
(770) 797-5762
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Moteez Wilson
Title
Ceo
Phone
(404) 441-7976

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2615 Mountain Industrial Blvd Ste 11
Tucker, GA 30084-3070

Mailing address

2615 Mountain Industrial Blvd Ste 11
Tucker, GA 30084-3070
Phone (770) 797-5762

National Provider Directory

National Provider Directory

Locations

2615 Mountain Industrial Blvd
Ste 11
Tucker, GA 30084
Phone (770) 797-5762

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679001366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 MOUNTAIN INDUSTRIAL BLVD STE 11",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843070",
            "telephone_number": "770-797-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 MOUNTAIN INDUSTRIAL BLVD STE 11",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843070",
            "telephone_number": "770-797-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MOTEEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-441-7976"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.