AMICUS HOME CARE (NPI# 1447569173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447569173 |
| Entity Type | Organization |
| Organization Name | AMICUS HOME CARE |
| Practice Address |
954 S Main St Ne Suite 200 Conyers GA 30012-4551 |
| Mailing Address |
4306 Grayson Pl Decatur GA 30030-2789 |
| Practice Telephone | 6785493939 |
| Practice Fax Number | 4042287288 |
| Mailing Telephone | 6785493939 |
| Mailing Fax Number | 4042287288 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | MR. DANIEL BRIZAN (CEO) |
| Authorized Official Telephone | 7863674118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 122-R-0514 | GA | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 122-R-0514 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 919016846A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | AMICUS HOME CARE, LLC | 145 Pine Haven Shores Rd, Shelburne, VT 05482 |
| Street Address |
954 S MAIN ST NE SUITE 200 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086682 | Unlimited Quality Care, LLC | In Home Supportive Care | 1264 Parker Rd Se Ste G, Conyers, GA 30094-5906 | 2019-01-07 |
| 1700378155 | My Froggy Stuff Home Care | In Home Supportive Care | 1775 Parker Rd Se Ste C202, Conyers, GA 30094-6654 | 2018-06-01 |
| 1801311006 | Praxis Living Solutions, LLC | In Home Supportive Care | 1403 Windy Hill Ct Se, Conyers, GA 30013-2971 | 2017-08-08 |
| 1578098836 | Significant Companion Home Care LLC | In Home Supportive Care | 1246 Mill Crest Walk Nw, Conyers, GA 30012-4244 | 2017-04-25 |
| 1922367267 | Rn4kidz, LLC | In Home Supportive Care | 6496 Bellevue Dr Sw, Conyers, GA 30094-4779 | 2012-05-07 |
| 1740895259 | Promised Solutions Homecare | In Home Supportive Care | 1775 Parker Rd Se Bldg C, Conyers, GA 30094-6654 | 2020-09-11 |
| 1518593946 | Innovative Nursing Solutions of Georgia LLC | In Home Supportive Care | 1818 Lakefield Ct Se Ste B, Conyers, GA 30013-6610 | 2020-03-17 |
| 1114578143 | Bolton and Bolton Community Services | In Home Supportive Care | 1631 Callaway Loop, Conyers, GA 30012-3672 | 2019-09-20 |
| 1033770946 | Catrina Wilson | In Home Supportive Care | 1246 Mill Crest Walk Nw, Conyers, GA 30012-4244 | 2019-06-23 |
| 1376939520 | Famcare Connect of South Carolina LLC | In Home Supportive Care | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2015-04-14 |
| Find all providers in CONYERS | ||||
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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.