Organization Active NPI

Elizabeth Homes LLC

  • In Home Supportive Care Agency
  • Decatur, GA
National Provider Identifier
1861828428
Registry record updated Sep 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
RN176712 Issued in GA
Legal business name
ELIZABETH HOMES LLC
Practice address
2548 Rainmaker Dr
Decatur, GA 30034-2161
Phone
(912) 398-4971
NPI assigned
Sep 15, 2013
Last updated
Sep 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2013

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

Authorized official

Name
Tiffany Williams, RN
Title
RN
Phone
(912) 398-4971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X RN176712 GA Primary

Addresses

Primary practice location

2548 Rainmaker Dr
Decatur, GA 30034-2161

Mailing address

2548 Rainmaker Dr
Decatur, GA 30034-2161

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379203200000",
    "number": "1861828428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 RAINMAKER DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 RAINMAKER DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342161",
            "telephone_number": "912-398-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "912-398-4971",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "RN176712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 15, 2013; 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.