Amelias Den Personal Care Home Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

AMELIAS DEN PERSONAL CARE HOME INC

Practice address

101 Devant St Ste 105
Fayetteville, GA 30214-2711

Phone

(470) 301-6037

Fax

(678) 519-1524

NPI assigned

Aug 19, 2018

Last updated

Aug 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rehnquist Wright

Title

Cfo

Phone

(757) 971-0946

Specialties & licenses 2

Addresses

Other names 1

• Amelias Den Personal Care Home Inc Other name

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534636800000",
    "number": "1982184974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 105",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142711",
            "telephone_number": "470-301-6037",
            "fax_number": "678-519-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 105",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142711",
            "telephone_number": "470-301-6037",
            "fax_number": "678-519-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIAS DEN PERSONAL CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "REHNQUIST",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-971-0946"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelias Den Personal Care Home Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amelias Den Personal Care Home Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.