Organization Active NPI

Apex Vip Care, LLC

  • In Home Supportive Care Agency
  • Jonesboro, GA
National Provider Identifier
1710789599
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
APEX VIP CARE, LLC
Practice address
9582 Tara Blvd Ste 6
Jonesboro, GA 30236-6089
Phone
(404) 890-0439
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Shone R GeneretteNPI 1720113517
Title
RN, BSN, Administrator
Phone
(404) 890-0439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9582 Tara Blvd Ste 6
Jonesboro, GA 30236-6089

Mailing address

255 N Main St # 1873
Jonesboro, GA 30236-3298

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2343534Apex Vip Care, LLC9582 Tara Boulevard #6, Jonesboro, GA 30236Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Locations

9582 Tara Blvd
Ste 6
Jonesboro, GA 30236
Phone (404) 890-0439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1710789599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST # 1873",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 TARA BLVD STE 6",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366089",
            "telephone_number": "404-890-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX VIP CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GENERETTE",
        "authorized_official_first_name": "SHONE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RN, BSN, ADMINISTRATOR",
        "authorized_official_telephone_number": "404-890-0439"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.