Organization Active NPI

Fayette Partners LLC

  • In Home Supportive Care Agency
  • Peachtree City, GA
National Provider Identifier
1972287266
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAYETTE PARTNERS LLC
Practice address
14 Eastbrook BND Ste 100
Peachtree City, GA 30269-1519
Phone
(770) 268-2288
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Alisa Lybbert
Title
President
Phone
(770) 268-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14 Eastbrook BND Ste 100
Peachtree City, GA 30269-1519

Mailing address

105 Carnoustie Way
Fayetteville, GA 30215-7814
Phone (770) 268-2288

Other names 1

  • ACASA Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

14 Eastbrook Bnd
Ste 100
Peachtree City, GA 30269
Phone (770) 268-2288

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1972287266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CARNOUSTIE WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157814",
            "telephone_number": "770-268-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND STE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691519",
            "telephone_number": "770-268-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "LYBBERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-268-2288"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACASA Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.