Organization Active NPI

Benevolent Home and Health LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1699383729
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BENEVOLENT HOME AND HEALTH LLC
Practice address
290 MLK Jr Dr SE Unit 4409
Atlanta, GA 30312-2540
Phone
(404) 353-4385
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dreamella Furgerson, MS, OTR/LNPI 1417289752
Title
Occupational Therapist/Ceo
Phone
(404) 353-4385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

290 MLK Jr Dr SE Unit 4409
Atlanta, GA 30312-2540

Mailing address

290 MLK Jr Dr SE Unit 4409
Atlanta, GA 30312-2540

National Provider Directory

National Provider Directory

Locations

290 Mlk Jr Dr SE
Unit 4409
Atlanta, GA 30312
Phone (404) 353-4385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1699383729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MLK JR DR SE UNIT 4409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MLK JR DR SE UNIT 4409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122540",
            "telephone_number": "404-353-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT HOME AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "FURGERSON",
        "authorized_official_first_name": "DREAMELLA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/CEO",
        "authorized_official_telephone_number": "404-353-4385",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 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.