Private Homestead Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PRIVATE HOMESTEAD CARE

Practice address

3500 Morinda Dr
Douglasville, GA 30135-2727

Phone

(404) 957-7419

Fax

(770) 577-5876

NPI assigned

Apr 17, 2026

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine W. Simon, RNNPI 1649123290

Title

Organizer

Phone

(404) 957-7419

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Simon

  • Nursing Care Agency
  • Douglasville, GA
  • NPI 1649123290
  NPD Authorized official

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1730023797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MORINDA DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352727",
            "telephone_number": "404-957-7419",
            "fax_number": "770-577-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MORINDA DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352727",
            "telephone_number": "404-957-7419",
            "fax_number": "770-577-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HOMESTEAD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "404-957-7419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.