Organization Active NPI

Simply Yours Home Care

  • Home Health Agency
  • Norcross, GA
National Provider Identifier
1962708255
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY YOURS HOME CARE
Practice address
1408 Sugarwood LN
Norcross, GA 30093-2520
Phone
(678) 368-4696
Fax
(678) 368-4696
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Ms. Bomecka La Shawn Evans
Title
Ceo
Phone
(678) 368-4696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

1408 Sugarwood LN
Norcross, GA 30093-2520

Mailing address

1408 Sugarwood LN
Norcross, GA 30093-2520
Phone (678) 368-4696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1962708255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SUGARWOOD LN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932520",
            "telephone_number": "678-368-4696",
            "fax_number": "678-368-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SUGARWOOD LN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932520",
            "telephone_number": "678-368-4696",
            "fax_number": "678-368-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY YOURS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BOMECKA",
        "authorized_official_middle_name": "LA SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-368-4696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.