Active NPI
Agile Caregivers LLC
- Home Health Agency
- Grayson, GA
National Provider Identifier
1740938174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.