Me and My Nanna, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

060-R-0147 Issued in GA

Legal business name

ME AND MY NANNA, LLC

Practice address

5878 Buford Hwy.,
Ste. 9
Atlanta, GA 30340-1245

Phone

(678) 381-1540

Fax

(877) 496-4822

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tongie R. Scott

Title

Pres/Ceo

Phone

(678) 471-5338

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1699733279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5878 BUFORD HWY., STE. 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401245",
            "telephone_number": "678-381-1540",
            "fax_number": "877-496-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5878 BUFORD HWY.,",
            "address_2": "STE. 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401245",
            "telephone_number": "678-381-1540",
            "fax_number": "877-496-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME AND MY NANNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TONGIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "678-471-5338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060R0147",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "060-R-0147",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341641551E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341641551B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.