Organization Active NPI

Homestead Palliative Care, Inc

  • Case Management Agency
  • Roswell, GA
National Provider Identifier
1750705190
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Roswell

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.