Organization Active NPI

Jumpstart Healthcare Services LLC

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1992370571
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 25, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000000OtherGA0000000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@jumpstarths.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.