Georgia Essential Private Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GEORGIA ESSENTIAL PRIVATE CARE LLC

Practice address

100 Victorian Way
Quitman, GA 31643-1476

Phone

(404) 590-8872

NPI assigned

Mar 1, 2022

Last updated

Mar 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tanisha Mobley

Title

Ceo/Owner

Phone

(404) 590-8872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1831845635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VICTORIAN WAY",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431476",
            "telephone_number": "404-590-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VICTORIAN WAY",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431476",
            "telephone_number": "404-590-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ESSENTIAL PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-590-8872",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.