Active NPI
Jumpstart Healthcare Services LLC
- Home Health Agency
- Decatur, GA
National Provider Identifier
1992370571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JUMPSTART HEALTHCARE SERVICES LLC
- Practice address
- 4153C Flat Shoals Pkwy Ste 324D
Decatur, GA 30034-4863 - Phone
- (678) 499-1102
- Fax
- (678) 882-3825
- NPI assigned
- May 25, 2021
- 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
- Mrs. Nichole Benson
- Title
- Owner
- Phone
- (678) 499-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4153C Flat Shoals Pkwy Ste 324D
Decatur, GA 30034-4863
Mailing address
3350 Millers Pond Way SW
Snellville, GA 30039
Phone (678) 499-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | GA | 0000000 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@jumpstarths.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4153C Flat Shoals Pkwy
Ste 324D
Decatur, GA 30034
Phone (678) 499-1102
3100 Five Forks Trickum Rd SW
Ste 503
Lilburn, GA 30047
Phone (678) 909-9035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1992370571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 MILLERS POND WAY SW",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30039",
"telephone_number": "678-499-1102",
"fax_number": "678-882-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153C FLAT SHOALS PKWY STE 324D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344863",
"telephone_number": "678-499-1102",
"fax_number": "678-882-3825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUMPSTART HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-499-1102",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0000000",
"identifier": "000000000",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@jumpstarths.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4153C Flat Shoals Pkwy Ste 324D",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300344863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.