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

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: July 19, 2026.

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

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

What is HEALTHCARE AT HOME LLC's NPI number?

The NPI number assigned to this healthcare provider is 1174057194, enumerated as an "organization" on April 17, 2017.

Where is the provider located?

The provider is located at 5040 SNAPFINGER WOODS DR STE 104 DECATUR, GA 30035 and the phone number is (678) 777-7165.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does HEALTHCARE AT HOME LLC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.