Willene's Home Care Services Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILLENE'S HOME CARE SERVICES CORPORATION

Practice address

1205 Mannbrook Dr
Stone Mountain, GA 30083-5316

Phone

(678) 790-5865

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Willene Coleman

Title

Owner

Phone

(678) 790-5865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1952968521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MANNBROOK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MANNBROOK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835316",
            "telephone_number": "678-790-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLENE'S HOME CARE SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WILLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-790-5865"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.