Dasom Homecare Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DASOM HOMECARE AGENCY LLC

Practice address

1238 Fort Marcy Park
Lawrenceville, GA 30044-3489

Phone

(678) 925-7370

Fax

(888) 342-1617

NPI assigned

Mar 17, 2022

Last updated

Sep 26, 2023By 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

Mrs. Michelle Bogo KimNPI 1922887306

Title

President

Phone

(770) 572-8707

Specialties & licenses 1

Addresses

Locations

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.

• Michelle Bogo Kim

  • Home Health Aide
  • Duluth, GA
  • NPI 1922887306
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1750039798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BOULEVARD",
            "address_2": "STE 214",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968833",
            "telephone_number": "470-282-1966",
            "fax_number": "888-342-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 FORT MARCY PARK",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443489",
            "telephone_number": "678-925-7370",
            "fax_number": "888-342-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASOM HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BOGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-572-8707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. Darrow, M.D.
• Nabil Darwich, MD, PHD
• Lance G. Dasher, MD
• Lindsey Dasher, APC
• Jordan Rae Dasilva, PA-C
• Dilini M Daswatta, D.O
• Zachary Dattilo, MD
• Cheryl Daugherty, LAPC
• Daniel Reif Daugherty, MD
• Shawntasia Daughtry

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, 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 Sep 26, 2023; 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.