Organization Active NPI

Anchor Home Healthcare Services, Inc.

  • Registered Nurse
  • Decatur, GA
National Provider Identifier
1861028078
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
ANCHOR HOME HEALTHCARE SERVICES, INC.
Practice address
3717 Elkridge Drive
Decatur, GA 30032
Phone
(404) 449-6744
NPI assigned
Mar 19, 2020
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Nicole Clemmons, RN
Title
Ceo
Phone
(404) 449-6744

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X NU
Home Health Agency 251E00000X NU
Home Infusion Agency 251F00000X NU
Nursing Care Agency 251J00000X NU
Respite Care 385H00000X NU
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3717 Elkridge Drive
Decatur, GA 30032

Mailing address

3055 Panthers Trce
Decatur, GA 30034-3858
Phone (404) 449-6744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@anchorhomehealthcare.net Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1861028078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 PANTHERS TRCE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343858",
            "telephone_number": "404-449-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 ELKRIDGE DRIVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "404-449-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HOME HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-449-6744",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@anchorhomehealthcare.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3717 Elkridge Drive",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.