NPIMap

Organization Active NPI

Selah

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1780152694
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELAH
Practice address
420 Amesbury CV SW
Atlanta, GA 30331-7696
Phone
(678) 834-2285
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Joanna L Fuller-CrawfordNPI 1851098347
Title
RN
Phone
(678) 834-2285

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 1

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

Addresses

Primary practice location

420 Amesbury CV SW
Atlanta, GA 30331-7696

Mailing address

420 Amesbury CV SW
Atlanta, GA 30331-7696
Phone (678) 834-2285

Other names 1

  • Perfect Care Nursing Doing business as

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": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1780152694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 AMESBURY CV SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317696",
            "telephone_number": "678-834-2285",
            "fax_number": "404-445-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AMESBURY CV SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317696",
            "telephone_number": "678-834-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "FULLER-CRAWFORD",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "678-834-2285"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Care Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2025; 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.