NPIMap

Organization Active NPI

Full Plate Industries, LLC

  • Home Infusion Agency
  • Hampton, GA
National Provider Identifier
1790557932
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
FULL PLATE INDUSTRIES, LLC
Practice address
261 Snow Bird Dr
Hampton, GA 30228-3530
Phone
(678) 469-4212
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Keisha N. Ford-Jenrette
Title
Owner
Phone
(678) 469-4212

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary
Infusion Therapy Clinic/Center 261QI0500X NU
Home Infusion Therapy Pharmacy 3336H0001X NU

Addresses

Primary practice location

261 Snow Bird Dr
Hampton, GA 30228-3530

Mailing address

261 Snow Bird Dr
Hampton, GA 30228-3530
Phone (678) 469-4212

Other names 1

  • Full Plate Industries, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Full Plate Industries LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1790557932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SNOW BIRD DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283530",
            "telephone_number": "678-469-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SNOW BIRD DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283530",
            "telephone_number": "678-469-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL PLATE INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "FORD-JENRETTE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-469-4212"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Plate Industries, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.