Organization Active NPI

Resilient Assistant Wellness Care LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1770288094
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RESILIENT ASSISTANT WELLNESS CARE LLC
Practice address
1201 W Peachtree St NW Ste 2611
Atlanta, GA 30309-3499
Phone
(470) 202-4694
Fax
(855) 866-0007
NPI assigned
Apr 4, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Monique L AguirreNPI 1912449984
Title
Chief Executive Officer
Phone
(470) 202-4694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU
Public Health or Welfare Agency 251K00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary
PACE Provider Organization 251T00000X NU

Addresses

Primary practice location

1201 W Peachtree St NW Ste 2611
Atlanta, GA 30309-3499

Mailing address

1201 W Peachtree St NW Ste 2611
Atlanta, GA 30309-3499
Phone (470) 202-4694

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.resilientawc.com Direct

National Provider Directory

National Provider Directory

Locations

1201 W Peachtree St NW
Ste 2611
Atlanta, GA 30309
Phone (470) 202-4694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1770288094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093499",
            "telephone_number": "470-202-4694",
            "fax_number": "855-866-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093499",
            "telephone_number": "470-202-4694",
            "fax_number": "855-866-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT ASSISTANT WELLNESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "470-202-4694",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.resilientawc.com",
            "affiliation": "N",
            "endpointDescription": "Website of Resilient Assistant Wellness Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1201 W Peachtree St NW Ste 2611",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.