Organization Active NPI

Philemon Healthcare Services LLC

  • Home Health Agency
  • Stone Mountain, GA
National Provider Identifier
1962055640
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHILEMON HEALTHCARE SERVICES LLC
Practice address
925 Main St Ste 300-116
Stone Mountain, GA 30083-3098
Phone
(678) 932-8056
Fax
(678) 797-7020
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Mrs. Ruthie A Thompson
Title
Cfo
Phone
(770) 465-9386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

925 Main St Ste 300-116
Stone Mountain, GA 30083-3098

Mailing address

622 Pennylake Lane
Stone Mountain, GA 30087-5768
Phone (770) 465-9386

National Provider Directory

National Provider Directory

Locations

925 Main St
Ste 300116
Stone Mountain, GA 30083
Phone (678) 932-8056

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1962055640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 PENNYLAKE LANE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875768",
            "telephone_number": "770-465-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN ST STE 300-116",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833098",
            "telephone_number": "678-932-8056",
            "fax_number": "678-797-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILEMON HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RUTHIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-465-9386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.