Chattahoochee Valley Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

130-R-1876 Issued in GA

Legal business name

CHATTAHOOCHEE VALLEY HOME CARE

Doing business as

Acti-Kare Responsive In-Home Care

Practice address

239 John Howard Rd
Shiloh, GA 31826-4004

Phone

(706) 610-4519

Fax

(706) 243-4782

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Dugger

Title

Area Director

Phone

(706) 619-4519

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Doing business as

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1891284170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 JOHN HOWARD RD",
            "city": "SHILOH",
            "state": "GA",
            "postal_code": "318264004",
            "telephone_number": "706-610-4519",
            "fax_number": "706-243-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 JOHN HOWARD RD",
            "city": "SHILOH",
            "state": "GA",
            "postal_code": "318264004",
            "telephone_number": "706-610-4519",
            "fax_number": "706-243-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTAHOOCHEE VALLEY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "706-619-4519"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "130-R-1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Shiloh, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.