Organization Active NPI

Parrish26

  • In Home Supportive Care Agency
  • Leesburg, GA
National Provider Identifier
1780157800
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PARRISH26
Practice address
158 Winship Dr
Leesburg, GA 31763-5319
Phone
(229) 669-1264
NPI assigned
Jan 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Mrs. Kelley H. Parrish, BSN, RN
Title
Owner/Director
Phone
(229) 669-1264

Specialties & licenses 1

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

Addresses

Primary practice location

158 Winship Dr
Leesburg, GA 31763-5319

Mailing address

158 Winship Dr
Leesburg, GA 31763-5319
Phone (229) 669-1264

Other names 1

  • Acti-Kare Responsive In-Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1780157800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WINSHIP DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635319",
            "telephone_number": "229-669-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WINSHIP DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635319",
            "telephone_number": "229-669-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRISH26",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "229-669-1264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.