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COUNTRY AIR VILLA LLC
NPI 1093317000
Nursing Care in Fairburn, GA

Active since November 13, 2020
8835 NORTHCUTT RD, FAIRBURN, GA 30213(404) 769-2963(770) 964-5565 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Air Villa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY AIR VILLA LLC (NPI 1093317000) is a healthcare organization registered as a nursing care in Fairburn, Georgia and active in the NPI registry since November 2020. The organization lists Andrea Cargill, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093317000
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameCOUNTRY AIR VILLA LLC
Location Address8835 NORTHCUTT RDFairburn, GA 30213-2278
Mailing Address8835 Northcutt RdFairburn, GA 30213-2278 · (404) 769-2963 · Fax (770) 964-5565
Phone(404) 769-2963
Fax(770) 964-5565
Organization SubpartNo
Authorized OfficialAndrea CargillAdministrator · (404) 769-2963
Enumeration DateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1093317000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
8835 NORTHCUTT RD, Fairburn, GA 30213
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTRY AIR PRIVATE HOMECARE AGENCY LLC
Nursing Care
8835 NORTHCUTT RD
FAIRBURN, GA 30213
Fulton County (404) 769-2963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Air Villa LLC's NPI number?

The NPI number for Country Air Villa LLC is 1093317000. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Country Air Villa LLC located?

Country Air Villa LLC is located at 8835 Northcutt Rd, Fairburn, GA 30213. The listed phone number is (404) 769-2963.

What is Country Air Villa LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Country Air Villa LLC was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.