Amina PHRP LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMINA PHRP LLC

Practice address

4148 Warrior TRL
Stone Mountain, GA 30083-3132

Phone

(404) 454-3421

NPI assigned

May 8, 2022

Last updated

May 8, 2022By 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

Hibo Ali

Title

Administrator

Phone

(404) 454-3421

Specialties & licenses 1

Addresses

Other names 1

• AMINA PHRP LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651968000000",
    "number": "1932845443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 WARRIOR TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833132",
            "telephone_number": "404-454-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4148 WARRIOR TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833132",
            "telephone_number": "404-454-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINA PHRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HIBO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-454-3421"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIBOA074@GMAIL.COM",
            "affiliation": "N",
            "address_1": "4148 Warrior Trl",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300833132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AMINA PHRP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; 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.