Individual provider Active NPI

June Deschamps

  • In Home Supportive Care Agency
  • Smyrna, GA
National Provider Identifier
1689441826
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PHCP011853 Issued in GA
Practice address
696 Concord Rd SE Ste B
Smyrna, GA 30082-2629
Phone
(770) 989-1015
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PHCP011853 GA Primary

Addresses

Primary practice location

696 Concord Rd SE Ste B
Smyrna, GA 30082-2629

Mailing address

696 Concord Rd SE Ste B
Smyrna, GA 30082-2629
Phone (770) 989-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHCP011853GAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Comfort Care In Home Supportive Care CurrentSince Dec 10, 2023 Accepting new patients

Locations

696 Concord Rd SE
Ste B
Smyrna, GA 30082
Phone (770) 989-1015

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1689441826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 CONCORD RD SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822629",
            "telephone_number": "770-989-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 CONCORD RD SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822629",
            "telephone_number": "770-989-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHAMPS",
        "first_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "PHCP011853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.