Organization Active NPI

Personal Quality Private Duty Sitting Services LLLP

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1851969356
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONAL QUALITY PRIVATE DUTY SITTING SERVICES LLLP
Practice address
2013 Cox CT
College Park, GA 30337-2485
Phone
(678) 499-4340
NPI assigned
Jun 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Kaniesha Lovetta Clark
Title
Administrator
Phone
(678) 499-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2013 Cox CT
College Park, GA 30337-2485

Mailing address

PO Box 115359
Atlanta, GA 30310-8359
Phone (678) 499-4340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1851969356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115359",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303108359",
            "telephone_number": "678-499-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 COX CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303372485",
            "telephone_number": "678-499-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL QUALITY PRIVATE DUTY SITTING SERVICES LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KANIESHA",
        "authorized_official_middle_name": "LOVETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-499-4340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.