Preferred Private Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREFERRED PRIVATE HOME CARE LLC

Practice address

6643 Church St
Douglasville, GA 30134-1715

Phone

(404) 919-8836

NPI assigned

Sep 11, 2023

Last updated

Dec 27, 2023By 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

Djuan L Williams

Title

Owner/Office Manager

Phone

(404) 919-8836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1992582100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6643 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341715",
            "telephone_number": "404-919-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PRIVATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DJUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "404-919-8836"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Douglasville, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.