Organization Active NPI

Hopewell in Home Senior Care

  • Home Health Agency
  • Thomasville, GA
National Provider Identifier
1720444284
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
136R1307 Issued in GA
Legal business name
HOPEWELL IN HOME SENIOR CARE
Practice address
808 Gordon Ave
Thomasville, GA 31792-6611
Phone
(850) 386-5552
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPEWELL HOME HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Jami D Eddy
Title
Administrator
Phone
(850) 386-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 136R1307 GA Primary

Addresses

Primary practice location

808 Gordon Ave
Thomasville, GA 31792-6611

Mailing address

2121 Killarney Way Ste H
Tallahassee, FL 32309-3400

Other identifiers 1

IdentifierTypeStateIssuer
A4 11OtherFLHOME HEALTH AGENCY

National Provider Directory

National Provider Directory
Part of
Life-Timesolutions

Locations

808 Gordon Ave
Thomasville, GA 31792
Phone (850) 386-5552

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1720444284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 KILLARNEY WAY STE H",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926611",
            "telephone_number": "850-386-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL IN HOME SENIOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWELL HOME HEALTH CARE",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-386-5552"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "136R1307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "A4 11",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.