Active NPI
Home Away From Home
- Respite Care
- Mableton, GA
National Provider Identifier
1821455759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Mableton, GA
- NPI 1992152490
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.