Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tacquora Lashae Mixon, CMA, CNA

Individual provider In Home Supportive Care Agency · NPI 1770306656

Tacquora Lashae Mixon, CMA, CNA is an In Home Supportive Care Agency in East Point, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2882 Church St
East Point, GA 30344-3254
Phone: (404) 692-8860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1770306656
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMA , CNA
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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