Active NPI
Rockdale Medical Center Home Health
- Home Health Agency
- Conyers, GA
National Provider Identifier
1780652164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 122195
- Legal business name
- ROCKDALE MEDICAL CENTER HOME HEALTH
- Practice address
- 1412 Milstead Ave NE
Conyers, GA 30012-3877 - Phone
- (770) 918-3958
- Fax
- (770) 918-3967
- NPI assigned
- Mar 10, 2006
- Last updated
- Oct 18, 2007
- Organization subpart
- Yes
- Parent organization
- ROCKDALE MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Colvin
- Title
- Home Health Director
- Phone
- (770) 918-3958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 122195 | GA | Primary |
Addresses
Primary practice location
1412 Milstead Ave NE
Conyers, GA 30012-3877
Mailing address
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00752485A | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- Rockdale Hospital Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1285663856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1780652164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-918-3958",
"fax_number": "770-918-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-918-3958",
"fax_number": "770-918-3967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKDALE MEDICAL CENTER HOME HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCKDALE MEDICAL CENTER",
"enumeration_date": "2006-03-10",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "COLVIN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "HOME HEALTH DIRECTOR",
"authorized_official_telephone_number": "770-918-3958",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "122195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00752485A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
- Rockdale County Radiation
- Rockdale Diagnostics, LLC (Medical Imaging at Honey Creek)
- Rockdale Family Practice, PC
- Rockdale Hospital LLC (Rockdale Medical Center Home Health)
- Rockdale Hospital LLC (Rockdale Medical Center)
- Rockdale Medical Center Inc.
- Rockdale Pathology, PC
- Rockdale Pediatrics Healthcare, PC
- Rockdale Physician Practices (Woundcare & Hyperbaric Medicine Associates)
- Rockdale Physician Practices LLC (Rockdale Vascular Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.