Sr Seabreeze, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

060-R-0715 Issued in GA

Legal business name

SR SEABREEZE, INC.

Doing business as

Right At Home

Practice address

4625 Alexander Dr
Ste 210
Alpharetta, GA 30022-3719

Phone

(770) 343-6235

Fax

(678) 735-7554

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Rob Brown

Title

Owner

Phone

(770) 343-6235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Right At Home Doing business as

Locations

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1801244611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 ALEXANDER DR",
            "address_2": "STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223719",
            "telephone_number": "770-343-6235",
            "fax_number": "678-735-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 ALEXANDER DR",
            "address_2": "STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223719",
            "telephone_number": "770-343-6235",
            "fax_number": "678-735-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR SEABREEZE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-343-6235"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151809A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Alpharetta, GA
• Providers in Alpharetta, 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 Jun 2, 2016; 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.