Active NPI
Recarlo King
- Nursing Care Agency
- Mableton, GA
National Provider Identifier
1942800115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 1863 Clay Rd SW
Mableton, GA 30126-1100 - Phone
- (678) 709-4480
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
1863 Clay Rd SW
Mableton, GA 30126-1100
Mailing address
1863 Clay Rd SW
Mableton, GA 30126-1100
Phone (678) 709-4480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Recarlolking@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1942800115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1863 CLAY RD SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261100",
"telephone_number": "678-709-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1863 CLAY RD SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261100",
"telephone_number": "678-709-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RECARLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Recarlolking@gmail.com",
"affiliation": "N",
"address_1": "1863 Clay Rd SW",
"city": "Mableton",
"state": "GA",
"country_code": "US",
"postal_code": "301261100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.