Organization Active NPI

Shontella'S Caring Hearts LLC

  • In Home Supportive Care Agency
  • Jonesboro, GA
National Provider Identifier
1760127260
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHONTELLA'S CARING HEARTS LLC
Practice address
409 Arrowhead Blvd
Jonesboro, GA 30236-1255
Phone
(404) 979-1609
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Shontella Cousar
Title
Owner
Phone
(404) 979-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

409 Arrowhead Blvd
Jonesboro, GA 30236-1255

Mailing address

409 Arrowhead Blvd
Jonesboro, GA 30236-1255
Phone (404) 979-1609

National Provider Directory

National Provider Directory

Locations

409 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 979-1609

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1760127260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361255",
            "telephone_number": "404-979-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361255",
            "telephone_number": "404-979-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONTELLA'S CARING HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "COUSAR",
        "authorized_official_first_name": "SHONTELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-979-1609"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.