NPI 1922376359 · live from the CMS NPI Registry
Ace Nurses/Aides Registry LLC
In Home Supportive Care in Conyers, GA. National Provider Identifier 1922376359, active.
NPI record
| NPI | 1922376359 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 355 Tall Oaks Dr Se Unit 205, Conyers, GA 30013 |
| Practice phone | 770-728-9252 |
| Mailing address | 25 Mission Pointe Ln, Covington, GA 30016 |
| Enumerated | December 13, 2011 |
| Last updated | March 9, 2023 |
| Authorized official | Marius Grimes, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | 107-R-1014 (GA) |
| Nursing Care | 251J00000X | 107-R-1014 (GA) |
| In Home Supportive Care | 253Z00000X | — |
| Custodial Care Facility | 311Z00000X | 107-R-1014 (GA) |
| Respite Care | 385H00000X | 107-R-1014 (GA) |
| In Home Supportive Care primary | 253Z00000X | 107-R-1014 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.