Active NPI
Cater Home Health Care Inc
- Home Health Agency
- Conyers, GA
National Provider Identifier
1760754113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CATER HOME HEALTH CARE INC
- Practice address
- 1424 Veterans Dr Ste 3a
Conyers, GA 30012-5258 - Phone
- (770) 648-7532
- Fax
- (678) 806-5555
- NPI assigned
- Feb 1, 2012
- 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
- Debrah Roberts
- Title
- Owner
- Phone
- (770) 648-7532
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
1424 Veterans Dr Ste 3a
Conyers, GA 30012-5258
Mailing address
1424 Veterans Dr Ste 3a
Conyers, GA 30012-5258
Phone (770) 648-7532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075-R-1076 | Medicaid | GA | |
| 003142254A | Other | GA | 003142256A PEACH CARE FOR KIDS |
National Provider Directory
National Provider DirectoryLocations
2183 Salem Rd SE
Ste A
Conyers, GA 30013
Phone (770) 648-7532
1424 Veterans Dr
Ste 3A
Conyers, GA 30012
Phone (770) 648-7532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1760754113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 VETERANS DR STE 3A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125258",
"telephone_number": "770-648-7532",
"fax_number": "678-806-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 VETERANS DR STE 3A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125258",
"telephone_number": "770-648-7532",
"fax_number": "678-806-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATER HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DEBRAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-648-7532"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075-R-1076",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "003142256A PEACH CARE FOR KIDS",
"identifier": "003142254A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.