Organization Active NPI

Dove Health Care Services

  • Home Health Agency
  • Jonesboro, GA
National Provider Identifier
1003121914
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
031-R-0363 Issued in GA
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

Updated by the provider on Aug 16, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
371443418AMedicaidGA
031-R-0363OtherGAGEORGIA DEPARTMENT OF COMMUNITY HEALTH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.