Home Care Georgia

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME CARE GEORGIA

Practice address

1280 Winchester Pkwy SE Ste 210
Smyrna, GA 30080-6548

Phone

(770) 384-0494

Fax

(770) 384-0093

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Jim Minick

Title

Director

Phone

(770) 384-0494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1881920700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 WINCHESTER PKWY SE STE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806548",
            "telephone_number": "770-384-0494",
            "fax_number": "770-384-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 WINCHESTER PKWY SE STE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806548",
            "telephone_number": "770-384-0494",
            "fax_number": "770-384-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "MINICK",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-384-0494"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDER AGENCY",
            "identifier": "033R0079",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kawonda Holland, RN, CADC II
• Jackie Holliday, LPC
• Michelle Dianne Holliness, M.S. CCC-SLP
• Amy Holmes, LPC
• Rachel Kari Holmes, LPC
• Jasmine Hood, LMT
• Hope First Investments
• Telisa Marie Horne, RN
• Michael Dory Horowitz, MD
• Ryo Hosaka, D.M.D.

• In Home Supportive Care Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.