NPIMap

Organization Active NPI

Amicable Homecare LLC

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1962136192
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMICABLE HOMECARE LLC
Practice address
1189 Shoreham Dr
College Park, GA 30349-5818
Phone
(678) 662-5834
NPI assigned
Jul 13, 2022
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Mr. Aso Ahamefule Odus Sr.NPI 1881193985
Title
Owner
Phone
(678) 662-5834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1189 Shoreham Dr
College Park, GA 30349-5818

Mailing address

1189 Shoreham Dr
College Park, GA 30349-5818
Phone (678) 662-5834

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1962136192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 SHOREHAM DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495818",
            "telephone_number": "678-662-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 SHOREHAM DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495818",
            "telephone_number": "678-662-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICABLE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "ODUS",
        "authorized_official_first_name": "ASO",
        "authorized_official_middle_name": "AHAMEFULE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-662-5834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.