Organization Active NPI

Sunny Village Healthcare LLC

  • Home Health Agency
  • Mableton, GA
National Provider Identifier
1740913656
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNNY VILLAGE HEALTHCARE LLC
Practice address
1400 Veterans Memorial Hwy Suite 134 - #434
Mableton, GA 30126
Phone
(470) 662-6552
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Charis McWhorterNPI 1518696848
Title
Owner
Phone
(404) 860-3335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1400 Veterans Memorial Hwy Suite 134 - #434
Mableton, GA 30126

Mailing address

1400 Veterans Memorial Hwy Suite 134 - #434
Mableton, GA 30126
Phone (470) 662-6552

National Provider Directory

National Provider Directory

Locations

1400 Veterans Memorial Hwy SE
Ste 134
Mableton, GA 30126
Phone (404) 254-6696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1740913656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY SUITE 134 - #434",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "470-662-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY SUITE 134 - #434",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "470-662-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY VILLAGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "CHARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-860-3335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.