Elder Home Care,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

033R0324 Issued in GA

Legal business name

ELDER HOME CARE,INC

Practice address

2759 Delk Rd SE
Suit#2135
Marietta, GA 30067-8847

Phone

(770) 937-9003

Fax

(770) 937-9004

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jigish Patel

Title

Vice Pricedent

Phone

(770) 937-9003

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1740692201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE",
            "address_2": "SUIT#2135",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678847",
            "telephone_number": "770-937-9003",
            "fax_number": "770-937-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE",
            "address_2": "SUIT#2135",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678847",
            "telephone_number": "770-937-9003",
            "fax_number": "770-937-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER HOME CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGISH",
        "authorized_official_title_or_position": "VICE PRICEDENT",
        "authorized_official_telephone_number": "770-937-9003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033R0324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119479A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695998601B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695998601A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daron Elam, MS,LAPA
• Bre'Anna Leigh Elbon, PT, DPT
• Melinda Kae Elder, PT, DPT
• Elizabeth Eldridge, DPT
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• Elizabeth Hails, SLP, LLC

• Home Health Agency in Marietta, GA
• Providers in Marietta, 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 Jun 2, 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.