Organization Active NPI

A Home Away From Home HC LLC

  • In Home Supportive Care Agency
  • Augusta, GA
National Provider Identifier
1770330516
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A HOME AWAY FROM HOME HC LLC
Practice address
2452 Belgrade CT
Augusta, GA 30906-4007
Phone
(706) 550-8127
NPI assigned
Apr 30, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tiffany Holden
Title
Owner
Phone
(706) 550-8127

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2452 Belgrade CT
Augusta, GA 30906-4007

Mailing address

2452 Belgrade CT
Augusta, GA 30906-4007
Phone (706) 550-8127

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2024.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1770330516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 BELGRADE CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064007",
            "telephone_number": "706-550-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 BELGRADE CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064007",
            "telephone_number": "706-550-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOME AWAY FROM HOME HC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-550-8127"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.