ML Premium Nursing Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ML PREMIUM NURSING SERVICE

Practice address

5376 Stone Cove Dr SW
Atlanta, GA 30331-8917

Phone

(770) 899-8393

Fax

(404) 549-2450

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Lee

Title

Ceo

Phone

(770) 899-8393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1821405986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5376 STONE COVE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318917",
            "telephone_number": "770-899-8393",
            "fax_number": "404-549-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5376 STONE COVE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318917",
            "telephone_number": "770-899-8393",
            "fax_number": "404-549-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML PREMIUM NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-899-8393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Mixson
• Annabelle Parker Mize, RBT
• Brandi M Mize, MD
• Mary Chase Mize, PHD, LPC
• MK Psychiatric Services LLC
• Andrea Mladenovic, MD
• Jacqueline Mlambo
• Eli Mlaver
• MLK Pharmacy2.0
• MLK Urgent Care

• Home Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Home Health Agency in Georgia

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