Annie'S Personal Care Home

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

ANNIE'S PERSONAL CARE HOME

Practice address

10594 Aspenwood CT
Jonesboro, GA 30238-8836

Phone

(404) 831-0877

Fax

(770) 473-6374

NPI assigned

Apr 24, 2011

Organization subpart

No

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

Authorized official

Name

Gretchen Elaine HLL

Title

Owner

Phone

(404) 831-0877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801187943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10594 ASPENWOOD CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388836",
            "telephone_number": "404-831-0877",
            "fax_number": "770-473-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10594 ASPENWOOD CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388836",
            "telephone_number": "404-831-0877",
            "fax_number": "770-473-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HLL",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-831-0877"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Jonesboro, GA
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• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.