Prime Mission Home Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PRIME MISSION HOME CARE

Practice address

120 Muirfield Dr
Covington, GA 30016-6535

Phone

(470) 685-1099

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Julie-Ann James-Lewis, NURSE

Title

Owner

Phone

(678) 779-1936

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1689241614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MUIRFIELD DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166535",
            "telephone_number": "470-685-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MUIRFIELD DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166535",
            "telephone_number": "470-685-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MISSION HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "JAMES-LEWIS",
        "authorized_official_first_name": "JULIE-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-779-1936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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