Family Providence Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY PROVIDENCE HOME CARE LLC

Practice address

2744 Powell CT
Monroe, GA 30656-8675

Phone

(770) 250-1758

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Tiya Hill

Title

Owner

Phone

(770) 250-1758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1922883156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MLK JR BLVD # 253",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555620",
            "telephone_number": "770-250-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 POWELL CT",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306568675",
            "telephone_number": "770-250-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROVIDENCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-250-1758"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.