Organization Active NPI

Just for You Personal Support Services, Inc.

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1700936291
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
056-R-0001 Issued in GA
Legal business name
JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.
Practice address
1587 Phoenix Blvd
Suiite 4
College Park, GA 30349-5540
Phone
(770) 991-9489
Fax
(770) 991-9491
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Mrs. Reva Stephens
Title
General Office Administrator
Phone
(770) 991-9489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 056-R-0001 GA Primary

Addresses

Primary practice location

1587 Phoenix Blvd
Suiite 4
College Park, GA 30349-5540

Mailing address

1587 Phoenix Blvd
Suiite 4
College Park, GA 30349-5540
Phone (770) 991-9489

Other identifiers 1

IdentifierTypeStateIssuer
300032709AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Just for You Personal Support Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1587 Phoenix Blvd
Ste 4
College Park, GA 30349
Phone (770) 991-9489

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1700936291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 PHOENIX BLVD",
            "address_2": "SUIITE 4",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495540",
            "telephone_number": "770-991-9489",
            "fax_number": "770-991-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 PHOENIX BLVD",
            "address_2": "SUIITE 4",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495540",
            "telephone_number": "770-991-9489",
            "fax_number": "770-991-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR YOU PERSONAL SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "REVA",
        "authorized_official_title_or_position": "GENERAL OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-991-9489",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "056-R-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032709A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.