Individual provider Active NPI

Amelia Michelle Solomon

  • Home Health Aide
  • Lawrenceville, GA
National Provider Identifier
1750906368
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
067-R-2030 Issued in GA
Practice address
1422 Fountain View Dr
Lawrenceville, GA 30043-3990
Phone
(470) 350-8637
Fax
(206) 401-5911
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 067-R-2030 GA Primary

Addresses

Primary practice location

1422 Fountain View Dr
Lawrenceville, GA 30043-3990

Mailing address

3276 Buford Dr Ste 104-280
Buford, GA 30519-5702
Phone (470) 350-8637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amelia@prosperityhomecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
067-R-2030GAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Prosperity Home Care, LLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

3276 Buford Dr
Ste 104280
Buford, GA 30519

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1750906368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3276 BUFORD DR STE 104-280",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195702",
            "telephone_number": "470-350-8637",
            "fax_number": "206-401-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 FOUNTAIN VIEW DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433990",
            "telephone_number": "470-350-8637",
            "fax_number": "206-401-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "AMELIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "067-R-2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amelia@prosperityhomecare.com",
            "affiliation": "N",
            "endpointDescription": "billing email",
            "address_1": "1422 Fountain View Dr",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300433990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.