Organization Active NPI

Wynnco Care LLC

  • Personal Care Attendant
  • Riverdale, GA
National Provider Identifier
1972477206
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
WYNNCO CARE LLC
Practice address
5930 Highway 85 Ste 502
Riverdale, GA 30274-1502
Phone
(404) 551-7773
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
David Wynn
Title
Ceo
Phone
(404) 551-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

5930 Highway 85 Ste 502
Riverdale, GA 30274-1502

Mailing address

3303 Tulip Dr
Decatur, GA 30032-3850
Phone (404) 551-7773

National Provider Directory

National Provider Directory

Locations

5930 Highway 85
Ste 502
Riverdale, GA 30274
Phone (404) 551-7773

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1972477206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 TULIP DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323850",
            "telephone_number": "404-551-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HIGHWAY 85 STE 502",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741502",
            "telephone_number": "404-551-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNCO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-551-7773"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.