Dominion Partners Home Care of Atlanta LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

033-R-0083 Issued in GA

Legal business name

DOMINION PARTNERS HOME CARE OF ATLANTA LLC

Practice address

6065 Roswell Rd Ste 424
Atlanta, GA 30328-4014

Phone

(770) 649-9930

Fax

(770) 645-8161

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Acker IINPI 1306528641

Title

Managing Partner

Phone

(770) 649-9930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ComForCare Home Care Doing business as

Practitioners 1

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

• Michael D Acker II, LDO

  • Optician
  • Atlanta, GA
  • NPI 1306528641
  NPD Authorized official

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1780184531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 424",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284014",
            "telephone_number": "770-649-9930",
            "fax_number": "770-645-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 424",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284014",
            "telephone_number": "770-649-9930",
            "fax_number": "770-645-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Lanier Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147443",
            "country_code": "US",
            "telephone_number": "470-263-4564",
            "fax_number": "404-393-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOMINION PARTNERS HOME CARE OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-649-9930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192461923",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.