Personal Senior Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PERSONAL SENIOR HOME CARE, LLC

Practice address

981 Luther St SE
Atlanta, GA 30315-6923

Phone

(404) 606-8430

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Tina K Jordan

Title

Owner/RN

Phone

(404) 606-8430

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1851009252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHPOINT WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534699",
            "telephone_number": "404-606-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 LUTHER ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156923",
            "telephone_number": "404-606-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SENIOR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "404-606-8430"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255703088",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Deiara Person, MSW
• Shaniqua M Person
• Personal Concierge MD, LLC
• Personal Enrichment Services, Inc.
• Personal Recovery Network LLC
• Personalized Primary Care of Atlanta LLC
• Perspective LLC
• Perspectives Counseling, Inc.
• Perspectives Developmental Group
• Savanah-Lee Pertab

• 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 Nov 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.