Organization Active NPI

Georgia Prime Home Care

  • Home Health Agency
  • Roswell, GA
National Provider Identifier
1902640683
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GEORGIA PRIME HOME CARE
Practice address
500 Sun Valley Dr Ste A1
Roswell, GA 30076-1480
Phone
(678) 956-1343
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Muhamed Rizvanovic
Title
Director
Phone
(678) 956-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

500 Sun Valley Dr Ste A1
Roswell, GA 30076-1480

Mailing address

500 Sun Valley Dr Ste A1
Roswell, GA 30076-1480

National Provider Directory

National Provider Directory

Locations

500 Sun Valley Dr
Ste A1
Roswell, GA 30076
Phone (678) 956-1343

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1902640683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE A1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE A1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761480",
            "telephone_number": "678-956-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PRIME HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "RIZVANOVIC",
        "authorized_official_first_name": "MUHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-956-1343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.