Organization Active NPI

Simple Essential Therapy Service,LLC

  • Home Health Agency
  • Sharpsburg, GA
National Provider Identifier
1700205697
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2440 Issued in GA
Legal business name
SIMPLE ESSENTIAL THERAPY SERVICE,LLC
Practice address
91 Barrington Farms Pkwy
Sharpsburg, GA 30277-1853
Phone
(404) 667-5158
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Mrs. Suzetta Torrey'S Brazile, OTR/L
Title
Occupational Therapist
Phone
(404) 667-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2440 GA Primary

Addresses

Primary practice location

91 Barrington Farms Pkwy
Sharpsburg, GA 30277-1853

Mailing address

91 Barrington Farms Pkwy
Sharpsburg, GA 30277-1853
Phone (404) 667-5158

Other identifiers 1

IdentifierTypeStateIssuer
NPI1346673464OtherGANPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1700205697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BARRINGTON FARMS PKWY",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302771853",
            "telephone_number": "404-667-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BARRINGTON FARMS PKWY",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302771853",
            "telephone_number": "404-667-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE ESSENTIAL THERAPY SERVICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "BRAZILE",
        "authorized_official_first_name": "SUZETTA",
        "authorized_official_middle_name": "TORREY'S",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "404-667-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "2440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "NPI1346673464",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.