NPI 1285480962 · live from the CMS NPI Registry
123 Ga Home Healthcare, Lllp
Non-emergency Medical Transport (VAN) in Jonesboro, GA. National Provider Identifier 1285480962, active.
NPI record
| NPI | 1285480962 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Non-emergency Medical Transport (VAN) 343900000X |
| Practice location | 767 North Ave, Jonesboro, GA 30236 |
| Practice phone | 678-304-2118 |
| Enumerated | April 24, 2024 |
| Last updated | September 17, 2026 |
| Authorized official | Derrick Whisby, Ceo |
| Other names | 123 Ga Home Healthcare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Home Infusion | 251F00000X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Nursing Care | 251J00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Non-emergency Medical Transport (VAN) primary | 343900000X | — |
| Respite Care | 385H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.