Organization Active NPI

Cottage Grove Health LLC

Doing business as Cottage Grove Home Care

  • Nursing Care Agency
  • Buford, GA
National Provider Identifier
1932992567
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COTTAGE GROVE HEALTH LLC
Doing business as
Cottage Grove Home Care
Practice address
3872 Suwanee Mill Dr
Buford, GA 30518-8786
Phone
(404) 808-3983
NPI assigned
May 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Mrs. Ruth Ashley Maxine Burgess, RN
Title
Ceo / Director of Nursing
Phone
(404) 808-3983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3872 Suwanee Mill Dr
Buford, GA 30518-8786

Mailing address

3872 Suwanee Mill Dr
Buford, GA 30518-8786
Phone (404) 808-3983

Other names 1

  • Cottage Grove Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1932992567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 SUWANEE MILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188786",
            "telephone_number": "404-808-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 SUWANEE MILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188786",
            "telephone_number": "404-808-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE GROVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "RUTH ASHLEY",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "CEO / DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "404-808-3983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Grove Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cottage Grove Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.