Organization Active NPI

Psalm719, Inc.

  • In Home Supportive Care Agency
  • Brunswick, GA
National Provider Identifier
1881296069
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PSALM719, INC.
Practice address
1628 Union St
Brunswick, GA 31520-6733
Phone
(912) 275-7445
Fax
(912) 275-7482
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Kale McMillan
Title
Owner
Phone
(912) 248-6215

Specialties & licenses 1

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

Addresses

Primary practice location

1628 Union St
Brunswick, GA 31520-6733

Mailing address

1628 Union St
Brunswick, GA 31520-6733
Phone (912) 275-7445

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

1628 Union St
Brunswick, GA 31520
Phone (912) 262-9966

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1881296069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 UNION ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206733",
            "telephone_number": "912-275-7445",
            "fax_number": "912-275-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 UNION ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206733",
            "telephone_number": "912-275-7445",
            "fax_number": "912-275-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSALM719, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "KALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-248-6215"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.