Organization Active NPI

Agile Caregivers LLC

  • Home Health Agency
  • Grayson, GA
National Provider Identifier
1740938174
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGILE CAREGIVERS LLC
Practice address
2236 Swan Lake CT
Grayson, GA 30017-4221
Phone
(470) 920-3647
NPI assigned
Mar 15, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
ABA Hamilton Phillips
Title
Owner
Phone
(612) 323-4117

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2236 Swan Lake CT
Grayson, GA 30017-4221

Mailing address

2236 Swan Lake CT
Grayson, GA 30017-4221
Phone (612) 323-4117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2022.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1740938174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 SWAN LAKE CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174221",
            "telephone_number": "612-323-4117",
            "fax_number": "404-420-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 SWAN LAKE CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174221",
            "telephone_number": "470-920-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HAMILTON PHILLIPS",
        "authorized_official_first_name": "ABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-323-4117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.