NPIMap

Organization Active NPI

Fastenp LLC ( 24 Hours Mobile Urgent /Primary Care)

  • In Home Supportive Care Agency
  • Snellville, GA
National Provider Identifier
1902331770
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2017OCC-006713 Issued in GA
Legal business name
FASTENP LLC ( 24 HOURS MOBILE URGENT /PRIMARY CARE)
Practice address
2766 Abilene LN
Snellville, GA 30078-6436
Phone
(678) 687-3376
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Alice MinkoffNPI 1457737892
Title
FNP
Phone
(470) 699-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2017OCC-006713 GA Primary

Addresses

Primary practice location

2766 Abilene LN
Snellville, GA 30078-6436

Mailing address

2766 Abilene LN
Snellville, GA 30078-6436
Phone (678) 687-3376

Other identifiers 1

IdentifierTypeStateIssuer
1457737892OtherGANPI ENUMERATOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1902331770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 ABILENE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786436",
            "telephone_number": "678-687-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 ABILENE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786436",
            "telephone_number": "678-687-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTENP LLC ( 24 HOURS MOBILE URGENT /PRIMARY CARE)",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "MINKOFF",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "470-699-8220"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "2017OCC-006713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "1457737892",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.