Robin Breault

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

PHCP010959 Issued in GA

Practice address

3370 Indian Hills Dr
Marietta, GA 30068-3254

Phone

(404) 694-8000

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• O'Guardians, Inc

  • In Home Supportive Care Agency
  • Marietta, GA
  • NPI 1023694015
  NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1912500794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 INDIAN HILLS DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683254",
            "telephone_number": "404-694-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 INDIAN HILLS DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683254",
            "telephone_number": "404-694-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Roswell Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300627611",
            "country_code": "US",
            "telephone_number": "404-383-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "PHCP010959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Braum, DC
• Harvey David Braunfeld, M.D.
• Mercedes Braxton
• Madison Lynore Bray
• Wesley R Bray, MD
• Mirian Brenick
• Magen Lee Brennan, PA-C
• Jillian C Brentzel, LCSW
• Mary Kathryn Breshears, M.S., LPC
• Ryan Edward Breshears, PH.D.

• In Home Supportive Care Agency in Marietta, GA
• Providers in Marietta, 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 17, 2021; 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.