Organization Active NPI

Vine Care Home Care LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1770341372
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VINE CARE HOME CARE LLC
Practice address
2682 Jacanar LN SW
Atlanta, GA 30331-8008
Phone
(678) 457-7916
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Treneva Okoduwa
Title
Owner
Phone
(770) 609-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2682 Jacanar LN SW
Atlanta, GA 30331-8008

Mailing address

2682 Jacanar LN SW
Atlanta, GA 30331-8008
Phone (678) 457-7916

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1770341372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 JACANAR LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318008",
            "telephone_number": "678-457-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 JACANAR LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318008",
            "telephone_number": "678-457-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "OKODUWA",
        "authorized_official_first_name": "TRENEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-609-9140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 8, 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.