Organization Active NPI

Motivated Hands Assisted Loving Care LLC.

  • Home Health Agency
  • Lithonia, GA
National Provider Identifier
1962900068
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOTIVATED HANDS ASSISTED LOVING CARE LLC.
Practice address
5392 Terrytown LN
Lithonia, GA 30038-3900
Phone
(678) 663-3832
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Coffy Trimble
Title
Ceo
Phone
(770) 265-7136

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

5392 Terrytown LN
Lithonia, GA 30038-3900

Mailing address

2645 Williams Grant Reynolds Dr Apt a
Lithonia, GA 30058-4510
Phone (678) 663-3832

Other identifiers 1

IdentifierTypeStateIssuer
20245153OtherGACONTROL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1962900068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 WILLIAMS GRANT REYNOLDS DR APT A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584510",
            "telephone_number": "678-663-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5392 TERRYTOWN LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383900",
            "telephone_number": "678-663-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVATED HANDS ASSISTED LOVING CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "COFFY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-265-7136"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL NUMBER",
            "identifier": "20245153",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.