Active NPI
Hopewell in Home Senior Care
- Home Health Agency
- Thomasville, GA
National Provider Identifier
1720444284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 136R1307
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- HOPEWELL HOME HEALTH CARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A4 11 | Other | FL | HOME 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.