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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Joetta's Jovial Private Homecare
- Joetta's jovial Private Homecare Agency, LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- In Home Supportive Care Agency
- Atlanta, GA
- NPI 1538702253
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.