Active NPI
Elizabeth Homes LLC
- In Home Supportive Care Agency
- Decatur, GA
National Provider Identifier
1861828428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- RN176712
- 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, 2013
- 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
- Tiffany Williams, RN
- Title
- RN
- Phone
- (912) 398-4971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pharmacist
- Decatur, GA
- NPI 1780969378
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.