Professionally Yours Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

121R1738 Issued in GA

Legal business name

PROFESSIONALLY YOURS HOME CARE, LLC

Practice address

207 Hudson Trce Ste 217
Augusta, GA 30907-2010

Phone

(706) 750-2300

Fax

(706) 755-0038

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shakeisha Dunn

Title

Administrator

Phone

(706) 993-8344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanotra Adams, LPN

  • Adult Companion
  • Augusta, GA
  • NPI 1063867034
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1891289922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HUDSON TRCE STE 217",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072010",
            "telephone_number": "706-750-2300",
            "fax_number": "706-755-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HUDSON TRCE STE 217",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072010",
            "telephone_number": "706-750-2300",
            "fax_number": "706-755-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALLY YOURS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHAKEISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-993-8344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "121R1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.