Organization Active NPI

Cater Home Health Care Inc

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1760754113
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 11, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
075-R-1076MedicaidGA
003142254AOtherGA003142256A PEACH CARE FOR KIDS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.