Vivid Sky Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIVID SKY HOME CARE SERVICES

Practice address

59 Tiffany Trce
Palmetto, GA 30268-8544

Phone

(678) 541-7538

Fax

(678) 692-6562

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia M GibsonNPI 1407509524

Title

Owner

Phone

(678) 541-7538

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Gibson

  • Home Health Agency
  • Palmetto, GA
  • NPI 1407509524
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1841912037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90F GLENDA TRCE # 190",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653858",
            "telephone_number": "678-541-7538",
            "fax_number": "678-692-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 TIFFANY TRCE",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302688544",
            "telephone_number": "678-541-7538",
            "fax_number": "678-692-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID SKY HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-541-7538",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@vividskyhomecare.com",
            "affiliation": "N",
            "endpointDescription": "Communications",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "59 Tiffany Trce",
            "city": "Palmetto",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302688544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Palmetto, GA
• Providers in Palmetto, 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 Sep 14, 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.