Columbus Ga Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COLUMBUS GA HOMECARE, LLC

Practice address

1501 13TH Street., Suite G
Columbus, GA 31901

Phone

(706) 914-3960

Fax

(706) 914-3961

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Matt Johnson

Title

Executive Director

Phone

(706) 914-3960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1770040099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 13TH STREET., SUITE G",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-914-3960",
            "fax_number": "706-914-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 13TH STREET., SUITE G",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-914-3960",
            "fax_number": "706-914-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS GA HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-914-3960"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOMECARE PROVIDER",
            "identifier": "PHCP010168",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Eye Associates, P.C.
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• Columbus Georgia Consolidated Government
• Columbus Gynecology Oncology Management Services, LLC
• Columbus Hand Institute LLC
• Columbus Home Care Services
• Columbus Home Medical Equipment, Inc.

• In Home Supportive Care Agency in Columbus, GA
• Providers in Columbus, 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 Feb 22, 2019; 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.