Active NPI
Dove Health Care Services
- Home Health Agency
- Jonesboro, GA
National Provider Identifier
1003121914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 031-R-0363
- Legal business name
- DOVE HEALTH CARE SERVICES
- Practice address
- 6659 Morning Dove PL
Jonesboro, GA 30236-1319 - Phone
- (678) 545-1295
- Fax
- (770) 472-8998
- NPI assigned
- Aug 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akamba Alfred Ette
- Title
- Administrator
- Phone
- (678) 545-1295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 031-R-0363 | GA | Primary |
Addresses
Primary practice location
6659 Morning Dove PL
Jonesboro, GA 30236-1319
Mailing address
6659 Morning Dove PL
Jonesboro, GA 30236-1319
Phone (678) 545-1295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371443418A | Medicaid | GA | |
| 031-R-0363 | Other | GA | GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281916800000",
"number": "1003121914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6659 MORNING DOVE PL",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361319",
"telephone_number": "678-545-1295",
"fax_number": "770-472-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6659 MORNING DOVE PL",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361319",
"telephone_number": "678-545-1295",
"fax_number": "770-472-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVE HEALTH CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A",
"authorized_official_last_name": "ETTE",
"authorized_official_first_name": "AKAMBA",
"authorized_official_middle_name": "ALFRED",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-545-1295",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "031-R-0363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371443418A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
"identifier": "031-R-0363",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.