OrganizationActive
Supplemental Health Care
NPI 1164574711 · Nursing Care Agency · Atlanta, GA
Provider details
- NPI number
- 1164574711
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mike Jacoutot, Ceo(800) 456-6677
- License
- 56131 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6849 Peachtree Dunwoody Rd Ne
Ne St. 102 Bldg B1
Atlanta, GA 30328-1610
Phone: (866) 587-9922
Fax: (678) 587-9993
Street-level locationGet directions
Mailing address
1640 West Redstone Center Drive
Park City, UT 84098
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.