Reset Homecare Ga LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RESET HOMECARE GA LLC

Practice address

1301 Round Rock CT
Conyers, GA 30012-6505

Phone

(215) 406-8673

NPI assigned

Sep 4, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheena Ballard

Title

Ceo

Phone

(121) 540-6867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1700662061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUND ROCK CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300126505",
            "telephone_number": "215-406-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUND ROCK CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300126505",
            "telephone_number": "215-406-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET HOMECARE GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "121-540-6867"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.