Active NPI
Isilda Isaza
- In Home Supportive Care Agency
- Norcross, GA
National Provider Identifier
1861984783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 067-R-1960
- Practice address
- 6045 Atlantic Blvd Ste 204
Norcross, GA 30071-1322 - Phone
- (770) 954-8097
- Fax
- (770) 212-3587
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 067-R-1960 | GA | Primary |
Addresses
Primary practice location
6045 Atlantic Blvd Ste 204
Norcross, GA 30071-1322
Mailing address
6045 Atlantic Blvd Ste 204
Norcross, GA 30071-1322
Phone (770) 954-8097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067-R-1960 | GA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1861984783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6045 ATLANTIC BLVD STE 204",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711322",
"telephone_number": "770-954-8097",
"fax_number": "770-212-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 ATLANTIC BLVD STE 204",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711322",
"telephone_number": "770-954-8097",
"fax_number": "770-212-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAZA",
"first_name": "ISILDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "067-R-1960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.