Reprieve Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

107-R-1781 Issued in GA

Legal business name

REPRIEVE HOMECARE, LLC

Practice address

95 Landon Way
Covington, GA 30016-3402

Phone

(770) 843-6117

Fax

(470) 310-3466

NPI assigned

Jan 30, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kisha Foster

Title

Owner/Administrator

Phone

(770) 843-6117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1750889267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 SALEM RD STE 35",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164528",
            "telephone_number": "770-843-6117",
            "fax_number": "470-310-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LANDON WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300163402",
            "telephone_number": "770-843-6117",
            "fax_number": "470-310-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRIEVE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-843-6117"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "107-R-1781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Covington, GA
• Providers in Covington, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.