Professional Home Care of Georgia,Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROFESSIONAL HOME CARE OF GEORGIA,INC.

Practice address

36 Highway 138 W Ste 206
Stockbridge, GA 30281-4201

Phone

(404) 952-7600

NPI assigned

Feb 8, 2011

Last updated

Feb 20, 2011By 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

Mrs. Yolanda Baker

Title

Ceo

Phone

(404) 952-7600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298160000000",
    "number": "1710283718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 ENDURING FREEDOM DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105592",
            "telephone_number": "404-952-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HIGHWAY 138 W STE 206",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814201",
            "telephone_number": "404-952-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE OF GEORGIA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-952-7600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2011; 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.