Organization Active NPI

Xtreme Homecare LLC

  • Home Health Aide
  • Stone Mountain, GA
National Provider Identifier
1699253260
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
XTREME HOMECARE LLC
Practice address
706 Treehills Pkwy
Stone Mountain, GA 30088-3045
Phone
(678) 876-7553
Fax
(470) 375-3920
NPI assigned
Aug 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Shantain Curry
Title
Owner
Phone
(678) 876-7553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

706 Treehills Pkwy
Stone Mountain, GA 30088-3045

Mailing address

706 Treehills Pkwy
Stone Mountain, GA 30088-3045
Phone (678) 876-7553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1699253260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 TREEHILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883045",
            "telephone_number": "678-876-7553",
            "fax_number": "470-375-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 TREEHILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883045",
            "telephone_number": "678-876-7553",
            "fax_number": "470-375-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "SHANTAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-876-7553"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.