Amcare Private Home Care Provider Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMCARE PRIVATE HOME CARE PROVIDER AGENCY, LLC

Practice address

2930 Grangehill Way
Cumming, GA 30041-6200

Phone

(773) 954-4476

NPI assigned

Mar 30, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shumeka Tareese Hill, FNPNPI 1164718797

Title

President

Phone

(773) 954-4476

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AmCare Private Home Care Provider Agency, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shumeka Tareesa Hill, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
  • NPI 1164718797
  Authorized official Same address or phone

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1932660073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 GRANGEHILL WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416200",
            "telephone_number": "773-954-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 GRANGEHILL WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416200",
            "telephone_number": "773-954-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMCARE PRIVATE HOME CARE PROVIDER AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHUMEKA",
        "authorized_official_middle_name": "TAREESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-954-4476",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmCare Private Home Care Provider Agency, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Cumming, GA
• Providers in Cumming, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.