Privatecarenursingservicellc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

066307 Issued in GA

Legal business name

PRIVATECARENURSINGSERVICELLC

Practice address

3200 Summit Place Dr
Loganville, GA 30052-5334

Phone

(386) 846-1793

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Athena Toliver

Title

Adminstor

Phone

(386) 846-1793

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1922424886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391812",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300390031",
            "telephone_number": "386-846-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUMMIT PLACE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525334",
            "telephone_number": "386-846-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATECARENURSINGSERVICELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "TOLIVER",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "ADMINSTOR",
        "authorized_official_telephone_number": "386-846-1793"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "066307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Health Partners LLC
• Karen Detlefsen Price, MA CCC/SLP
• Ryan Jarratt Price, D.M.D.
• Princeton Dental Group-Loganville
• Priority Guests Medical Logistics LLC
• Probity Tender Care LLC
• Promedica, Inc. (Promedica Psychiatry Group)
• Promotion Physical Therapy Inc
• Providia Home Care LLC
• Publix Super Markets Inc (Publix Pharmacy #0789)

• Health Service Clinic/Center in Loganville, GA
• Providers in Loganville, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.