Active NPI
Lateefah Aziz
- In Home Supportive Care Agency
- Atlanta, GA
National Provider Identifier
1932758497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- PHCP010489
- Practice address
- 889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800 - Phone
- (404) 883-3302
- Fax
- (678) 515-0876
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PHCP010489 | GA | |
| Nursing Care Agency | 251J00000X | PHCP010489 | GA | |
| In Home Supportive Care Agency | 253Z00000X | PHCP010489 | GA | Primary |
Addresses
Primary practice location
889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800
Mailing address
889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800
Phone (404) 883-3302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP010489 | GA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare LLC | Home Health | Current | Accepting new patients |
Locations
889 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 883-3302
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1932758497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 1/2 RALPH DAVID ABERNATHY BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101800",
"telephone_number": "404-883-3302",
"fax_number": "678-515-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 1/2 RALPH DAVID ABERNATHY BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101800",
"telephone_number": "404-883-3302",
"fax_number": "678-515-0876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZ",
"first_name": "LATEEFAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "PHCP010489",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "PHCP010489",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "PHCP010489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.