Organization Active NPI

At Home Care Services

  • Nursing Care Agency
  • Jonesboro, GA
National Provider Identifier
1972753507
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
AT HOME CARE SERVICES
Practice address
157 Tyler RDG
Jonesboro, GA 30238-5887
Phone
(770) 210-6889
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Janice PerryNPI 1467521435
Title
Administrator
Phone
(770) 210-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X GA Primary

Addresses

Primary practice location

157 Tyler RDG
Jonesboro, GA 30238-5887

Mailing address

157 Tyler RDG
Jonesboro, GA 30238-5887
Phone (770) 210-6889

Other identifiers 1

IdentifierTypeStateIssuer
648042133AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1972753507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TYLER RDG",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385887",
            "telephone_number": "770-210-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TYLER RDG",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385887",
            "telephone_number": "770-210-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-210-6889"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648042133A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.