HEALTHCARE AT HOME LLC
NPI 1174057194
Nurse Practitioner - Family in Decatur, GA

Q: What is Healthcare At Home LLC's NPI number?

The NPI number for Healthcare At Home LLC is 1174057194. It was assigned to this organization in the NPPES registry on April 17, 2017.

Q: What is Healthcare At Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 17, 2017CLIA 11D2138810 · Waiver

5040 SNAPFINGER WOODS DR STE 104, DECATUR, GA 30035(678) 777-7165(563) 202-6972 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 26, 2022, Sep 9, 2020, Jun 16, 2019 and 2 more (5 updates tracked since 2017).

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About Healthcare At Home Llc NPPES

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

HEALTHCARE AT HOME LLC (NPI 1174057194) is a healthcare organization registered as a family in Decatur, Georgia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through October 24, 2027, maintains a secondary practice location in Lithonia, and lists Tricia Salmon Anderson, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174057194

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameHEALTHCARE AT HOME LLC

Location Address5040 SNAPFINGER WOODS DR STE 104Decatur, GA 30035-4020

Mailing Address5243 Snapfinger Woods Dr Ste 104Decatur, GA 30035-4000 · (678) 777-7165 · Fax (563) 202-6972

Phone(678) 777-7165

Fax(563) 202-6972

Organization SubpartNo

Authorized OfficialTricia Salmon AndersonFamily Nurse Practitioner · (678) 777-7165

Enumeration DateApril 17, 2017

Last NPPES UpdateApril 26, 20225 updates tracked since enumeration

NPPES CertifiedApril 26, 2022

✔ NPI 1174057194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 195112

5040 SNAPFINGER WOODS DR STE 104, Decatur, GA 30035

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Secondary Practice Location 1

Location 14901 Shire DrLithonia, GA 30038-2984 · Phone (678) 777-7165

Other Identifiers 1

Medicaid003154719DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2138810

Healthcare At Home, LLC · Lithonia, GA

Active · expires Oct 24, 2027

CLIA Number11D2138810

Laboratory TypePractitioner Other

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorTricia Salmon Anderson

Laboratory Phone(678) 777-7165

Laboratory LocationHealthcare At Home, LLC4901 Shire Drive, Lithonia, GA 30038

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Healthcare At Home LLC's NPI number?

The NPI number for Healthcare At Home LLC is 1174057194. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Healthcare At Home LLC located?

Healthcare At Home LLC is located at 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035. The listed phone number is (678) 777-7165.

What is Healthcare At Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Healthcare At Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2138810) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthcare At Home LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Healthcare At Home LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthcare At Home LLC was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.