PRIMARY MEDICAL HOMECARE LLC (NPI# 1043828932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043828932 |
| Entity Type | Organization |
| Organization Name | PRIMARY MEDICAL HOMECARE LLC |
| Practice Address |
2480 Windy Hill Rd Se Ste 206 Marietta GA 30067-8656 |
| Practice Telephone | 4048005550 |
| Mailing Telephone | 4048005550 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | DR. REDA COSTON (HEALTHCARE ADMINISTRATOR) |
| Authorized Official Telephone | 4048005550 |
| Authorized Official Credential | PSY.D/PH.D |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY MEDICAL HOMECARE 'PMH' LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEPT. OF COMMUNITY HEALTH | 033-R-1687 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750763132 | Primary Medical Homecare LLC | Point of Service | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2015-06-23 |
| Street Address |
2480 WINDY HILL RD SE STE 206 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173100 | Aspire Home Care LLC | Home Health | 282 Rockin Hill Dr Sw, Marietta, GA 30060-6654 | 2020-08-07 |
| 1710595459 | Artrametache Chestnut | Home Health | 2525 Kolb Manor Cir Sw, Marietta, GA 30008-5990 | 2020-07-20 |
| 1477170397 | Marlene Graham | Home Health | 1371 Piedmont Rd Ne, Marietta, GA 30066-4037 | 2020-06-26 |
| 1427670215 | Yebo Therapy LLC | Home Health | 4687 Amberwood Trl, Marietta, GA 30062-6305 | 2020-05-14 |
| 1740818277 | Oasis of Joy Health Care Services, LLC | Home Health | 1307 Cumberland Creek Ter Sw, Marietta, GA 30008-4456 | 2020-03-30 |
| 1578194064 | Amazing Angels Healthcare Solutions LLC | Home Health | 1380 Glenover Way, Marietta, GA 30062-2150 | 2020-02-03 |
| 1457982530 | Saralin Healthcare Services, Inc | Home Health | 3056 Lawson Dr, Marietta, GA 30064-6418 | 2020-01-28 |
| 1770137622 | Gr8 Senior Care, LLC | Home Health | 55 Atlanta St Se Ste 105, Marietta, GA 30060-1977 | 2019-07-30 |
| 1336702984 | Complete Access Services Corporation | Home Health | 2481 Hurt Rd Sw Ste E, Marietta, GA 30008-6029 | 2019-04-18 |
| 1659833812 | Lexx Homecare Agency | Home Health | 3787 Lamb Dr, Marietta, GA 30064-5921 | 2019-04-04 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.