Active NPI
In Home Health, LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Atlanta, GA
National Provider Identifier
1689317372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- IN HOME HEALTH, LLC
- Practice address
- 2951 Flowers Rd S Ste 211
Atlanta, GA 30341-5533 - Phone
- (770) 474-4565
- NPI assigned
- Apr 19, 2022
- 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
- Martin David Allen
- Title
- Sole Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
2951 Flowers Rd S Ste 211
Atlanta, GA 30341-5533
Mailing address
PO Box 10086
Toledo, OH 43699-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000848317A | Medicaid | GA |
Other names 1
- ProMedica Hospice (Atlanta)
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650326400000",
"number": "1689317372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10086",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436990086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 FLOWERS RD S STE 211",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415533",
"telephone_number": "770-474-4565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "SOLE DIRECTOR",
"authorized_official_telephone_number": "419-252-5734"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000848317A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Atlanta)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.