Express Home Care Georgia

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

048R1033 Issued in FM

Legal business name

EXPRESS HOME CARE GEORGIA

Practice address

231 Maxham Rd
Suite 100
Austell, GA 30168-5523

Phone

(770) 948-8112

Fax

(770) 948-8113

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Vivian McCullom

Title

Administrator

Phone

(770) 948-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1881955607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAXHAM RD",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685523",
            "telephone_number": "770-948-8112",
            "fax_number": "770-948-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAXHAM RD",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685523",
            "telephone_number": "770-948-8112",
            "fax_number": "770-948-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HOME CARE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "MCCULLOM",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-948-8112"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FM",
            "license": "048R1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine Esezobor, LPC, PHD
• Courtney Lashun Evans, MSW
• Reyana Ewing, RD
• Excel Diagnostic Laboratory, Inc.
• Exitus Global, Inc.
• Eyedeal Eyecare LLC
• Eugene Ezekwueche
• Gloria Eziakor, FNP-BC
• Joy Chidinma Ezuma
• Kristin L Faine, FNP-C

• In Home Supportive Care Agency in Austell, GA
• Providers in Austell, 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 Jun 7, 2012; 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.