Organization Active NPI

Home Care of West Ga LLC

Doing business as Prosper Home Care

  • In Home Supportive Care Agency
  • Chamblee, GA
National Provider Identifier
1811123615
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME CARE OF WEST GA LLC
Doing business as
Prosper Home Care
Practice address
3088 Mercer University Drive
Suite 210
Chamblee, GA 30341
Phone
(678) 705-8717
Fax
(404) 935-6110
NPI assigned
Jun 8, 2009
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Adrienne Elizabeth Baird
Title
Administrator
Phone
(678) 705-8717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 060R0226 GA
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3088 Mercer University Drive
Suite 210
Chamblee, GA 30341

Mailing address

3088 Mercer University Drive
Suite 210
Chamblee, GA 30341
Phone (678) 705-8717

Other names 1

  • Prosper Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

3088 Mercer University Dr
Ste 100
Atlanta, GA 30341
Phone (678) 705-8717

3088 Mercer University Dr
Ste 210
Chamblee, GA 30341
Phone (678) 705-8717

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1811123615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 MERCER UNIVERSITY DRIVE",
            "address_2": "SUITE 210",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-705-8717",
            "fax_number": "404-935-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 MERCER UNIVERSITY DRIVE",
            "address_2": "SUITE 210",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-705-8717",
            "fax_number": "404-935-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE OF WEST GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-705-8717"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060R0226",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.