Active NPI
Epsilon Home Based Quality Care, LLC
- In Home Supportive Care Agency
- Snellville, GA
National Provider Identifier
1720660616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EPSILON HOME BASED QUALITY CARE, LLC
- Practice address
- 1350 Scenic Hwy N Ste 266
Snellville, GA 30078-7924 - Phone
- (770) 824-3940
- Fax
- (770) 415-3008
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glavdia G Delva, MD, MPH
- Title
- Ceo, Manager
- Phone
- (516) 309-3510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1350 Scenic Hwy N Ste 266
Snellville, GA 30078-7924
Mailing address
1334 Gulfport Run
Grayson, GA 30017-2949
Phone (770) 824-3940
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdelva@epsilonhomebasedqualitycare.com | Health Information Exchange (HIE) | Epsilon Home Based Quality Care, LLC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618963200000",
"number": "1720660616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 GULFPORT RUN",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300172949",
"telephone_number": "770-824-3940",
"fax_number": "770-415-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SCENIC HWY N STE 266",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787924",
"telephone_number": "770-824-3940",
"fax_number": "770-415-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPSILON HOME BASED QUALITY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "DELVA",
"authorized_official_first_name": "GLAVDIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO, MANAGER",
"authorized_official_telephone_number": "516-309-3510",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdelva@epsilonhomebasedqualitycare.com",
"affiliation": "Y",
"affiliationName": "Epsilon Home Based Quality Care, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV, Pdf, Word, Excel, etc.",
"address_1": "1350 Scenic Hwy N Ste 266",
"city": "Snellville",
"state": "GA",
"country_code": "US",
"postal_code": "300787924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.