Organization Active NPI

Epsilon Home Based Quality Care, LLC

  • In Home Supportive Care Agency
  • Snellville, GA
National Provider Identifier
1720660616
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 21, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address gdelva@epsilonhomebasedqualitycare.com Health Information Exchange (HIE) Epsilon Home Based Quality Care, LLC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.