Caresouth HHA Holdings of Texas, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007392 Issued in TX

Legal business name

CARESOUTH HHA HOLDINGS OF TEXAS, LLC

Doing business as

MedCare @ Home, a CareSouth Company

Practice address

1 10TH St
Ste 500
Augusta, GA 30901-0100

Phone

(706) 855-5533

Fax

(888) 968-4907

NPI assigned

Jan 6, 2006

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rick W Griffin

Title

Manager

Phone

(706) 854-7460

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MedCare @ Home, a CareSouth Company Doing business as

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1689652968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 10TH ST",
            "address_2": "STE 500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010100",
            "telephone_number": "706-855-5533",
            "fax_number": "888-968-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 10TH ST",
            "address_2": "STE 500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010100",
            "telephone_number": "706-855-5533",
            "fax_number": "888-968-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-854-7460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012271501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0485319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "331333",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23721601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare @ Home, a CareSouth Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Allan Carey, NNP

• Home Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.