Mattie Kate Home Health LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

MATTIE KATE HOME HEALTH LLC

Practice address

4826 Acme Dr
Columbus, GA 31907-3574

Phone

(706) 615-2833

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Petra Hoskins-Mickles, CMANPI 1013601343

Title

Owner

Phone

(706) 615-2833

Specialties & licenses 6

Addresses

Other names 1

• Mattie Kate Home Health LLC Former legal business name

Practitioners 1

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

• Petra Hoskins-Mickles

  • Home Health Aide
  • Columbus, GA
  • NPI 1013601343

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1962289850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 ACME DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073574",
            "telephone_number": "706-615-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 ACME DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073574",
            "telephone_number": "706-615-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIE KATE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HOSKINS-MICKLES",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-615-2833",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattie Kate Home Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Ruth McKnight Mathis, NP
• Kiana Mathis
• Tanja Mathis
• Edward A Matthews, D.O.
• Tazeur Matthews, PHD
• Natallia Matuzava, M.D.
• Bonnie Matyas, LPC
• Lindsey Matzenger
• Timothy Maulsby, CPS, CPRP
• Saudat Mohammed Mawia

• Nurse's Aide in Columbus, GA
• Providers in Columbus, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.