Active NPI
Homestead Palliative Care, Inc
- Case Management Agency
- Roswell, GA
National Provider Identifier
1750705190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HOMESTEAD PALLIATIVE CARE, INC
- Practice address
- 10888 Crabapple Rd
Roswell, GA 30075-5850 - Phone
- (578) 966-0077
- Fax
- (678) 387-3716
- NPI assigned
- Feb 5, 2014
- Last updated
- Jul 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mahlega Abdsharafat
- Title
- Ceo
- Phone
- (678) 966-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
10888 Crabapple Rd
Roswell, GA 30075-5850
Mailing address
10888 Crabapple Rd
Roswell, GA 30075-5850
Phone (678) 966-0077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Roswell |
National Provider Directory
National Provider DirectoryLocations
3005 Citizens Pkwy
Selma, AL 36701
Phone (334) 418-0566
1561 Lenru Rd
Bogart, GA 30622
Phone (770) 725-2399
10888 Crabapple Rd
Roswell, GA 30075
Phone (678) 966-0077
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Bogart, GA
- NPI 1417689050
-
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1699109645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594166400000",
"number": "1750705190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10888 CRABAPPLE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755850",
"telephone_number": "678-966-0077",
"fax_number": "678-387-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10888 CRABAPPLE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755850",
"telephone_number": "578-966-0077",
"fax_number": "678-387-3716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD PALLIATIVE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A",
"authorized_official_last_name": "ABDSHARAFAT",
"authorized_official_first_name": "MAHLEGA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-966-0077",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Roswell",
"affiliation": "N",
"address_1": "10888 Crabapple Rd",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300755850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.