Polite Homes LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LBC20140001185 Issued in GA

Legal business name

POLITE HOMES LLC

Practice address

1382 Walton Loop
Hephzibah, GA 30815-8914

Phone

(706) 504-7115

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Crystal Renee Polite

Title

Administrator

Phone

(706) 504-7115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1720485741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 WALTON LOOP",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308158914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 WALTON LOOP",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308158914",
            "telephone_number": "706-504-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLITE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-504-7115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "LBC20140001185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Home Health Agency in Georgia

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