Organization Active NPI

Joetta's Jovial Private Homecare Agency

Doing business as Joetta's Jovial Homecare Agency

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1992306625
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JOETTA'S JOVIAL PRIVATE HOMECARE AGENCY
Doing business as
Joetta's Jovial Homecare Agency
Joetta's Jovial Private Homecare
Joetta's jovial Private Homecare Agency, LLC
Practice address
10 Glenlake Pkwy Ste 130
Atlanta, GA 30328-3495
Phone
(404) 907-4669
Fax
(404) 726-8974
NPI assigned
Nov 9, 2020
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Tiara Boykin
Title
Care Director
Phone
(404) 907-4669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

10 Glenlake Pkwy Ste 130
Atlanta, GA 30328-3495

Mailing address

10 Glenlake Pkwy Ste 130
Atlanta, GA 30328-3495
Phone (404) 907-4669

Other practice location 1

429 4th Ave Ste 300
Pittsburgh, PA 15219-1507
Phone (267) 570-3710

Other names 3

  • Joetta's Jovial Homecare Agency Doing business as
  • Joetta's Jovial Private Homecare Doing business as
  • Joetta's jovial Private Homecare Agency, LLC Doing business as

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1992306625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GLENLAKE PKWY STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283495",
            "telephone_number": "404-907-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GLENLAKE PKWY STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283495",
            "telephone_number": "404-907-4669",
            "fax_number": "404-726-8974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 4th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191507",
            "country_code": "US",
            "telephone_number": "267-570-3710",
            "fax_number": "404-726-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOETTA'S JOVIAL PRIVATE HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "CARE DIRECTOR",
        "authorized_official_telephone_number": "404-907-4669"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joetta's Jovial Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joetta's Jovial Private Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joetta's jovial Private Homecare Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.