NPI 1629468392 · live from the CMS NPI Registry
A Superior Choice Medical Staffing LLC
In Home Supportive Care in Atlanta, GA. National Provider Identifier 1629468392, active.
NPI record
| NPI | 1629468392 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 5881 Glenridge Dr, Suite 140, Atlanta, GA 30328 |
| Practice phone | 404-257-1608 |
| Enumerated | February 2, 2015 |
| Last updated | June 12, 2015 |
| Authorized official | Brian Lacey, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | 060-R-0154 (GA) |
| In Home Supportive Care primary | 253Z00000X | 060-R-0154 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.