=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417838673
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAMP CARE AT HOME
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2025
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33 UPPER RIVERDALE RD SW STE 107
-----------------------------------------------------
City | RIVERDALE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30274-2642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-489-6734
-----------------------------------------------------
Fax | 888-498-4760
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 33 UPPER RIVERDALE RD SW STE 107
-----------------------------------------------------
City | RIVERDALE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30274-2642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-489-6734
-----------------------------------------------------
Fax | 888-498-4760
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | MS. ANTRANIKA ROSS
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 678-489-6734
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------