Organization Active NPI

Educare Home Care Services LLC

  • Home Health Agency
  • Riverdale, GA
National Provider Identifier
1720484397
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDUCARE HOME CARE SERVICES LLC
Practice address
6741 Church St Ste 4
Riverdale, GA 30274-2249
Phone
(678) 308-3767
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Brendanette Collins I
Title
Personal Care Supervisor
Phone
(678) 308-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6741 Church St Ste 4
Riverdale, GA 30274-2249

Mailing address

6741 Church St Ste 4
Riverdale, GA 30274-2249

National Provider Directory

National Provider Directory

Locations

6741 Church St
Ste 4
Riverdale, GA 30274
Phone (678) 308-3767

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1720484397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 CHURCH ST STE 4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 CHURCH ST STE 4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742249",
            "telephone_number": "678-308-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BRENDANETTE",
        "authorized_official_title_or_position": "PERSONAL CARE SUPERVISOR",
        "authorized_official_telephone_number": "678-308-3767",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.