Organization Active NPI

Home Away From Home

  • Respite Care
  • Mableton, GA
National Provider Identifier
1821455759
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
HOME AWAY FROM HOME
Practice address
5031 Glore Rd SW
Mableton, GA 30126-5509
Phone
(770) 289-3682
Fax
(678) 321-1464
NPI assigned
Jan 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Vickie Burrow-Johnson
Title
Ceo
Phone
(770) 289-3682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

5031 Glore Rd SW
Mableton, GA 30126-5509

Mailing address

5031 Glore Rd SW
Mableton, GA 30126-5509
Phone (770) 289-3682

National Provider Directory

National Provider Directory
Tax ID family
Home Away From Home2 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": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1821455759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 GLORE RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265509",
            "telephone_number": "770-289-3682",
            "fax_number": "678-321-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 GLORE RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265509",
            "telephone_number": "770-289-3682",
            "fax_number": "678-321-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "BURROW-JOHNSON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-289-3682"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.