Primary Health Care Resource Service, LP

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRIMARY HEALTH CARE RESOURCE SERVICE, LP

Practice address

5405 Memorial Dr Ste 101
Stone Mountain, GA 30083-3234

Phone

(404) 287-5406

Fax

(404) 296-8743

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Nasra Mohamed Mirreh, MSWNPI 1760040919

Title

Owner

Phone

(404) 287-5406

Specialties & licenses 1

Addresses

Other names 1

• Soft Hands of Clarkston Home Health Agency, LP Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasra Mohamed Mirreh, MSW

  • Case Management Agency
  • Stone Mountain, GA
  • NPI 1760040919
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1699374934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833234",
            "telephone_number": "404-287-5406",
            "fax_number": "404-296-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833234",
            "telephone_number": "404-287-5406",
            "fax_number": "404-296-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE RESOURCE SERVICE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "MIRREH",
        "authorized_official_first_name": "NASRA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-287-5406",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soft Hands of Clarkston Home Health Agency, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Katrice Denise Price
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• Professional Medical Home Healthcare Inc.
• Professional Medical Pharmacy
• Professional Medical Transport

• Case Management Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.