Active NPI
Anchor Home Healthcare Services, Inc.
- Registered Nurse
- Decatur, GA
National Provider Identifier
1861028078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@anchorhomehealthcare.net | Direct |
National Provider Directory
National Provider DirectoryNPI 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.