Eti Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETI HEALTHCARE LLC

Practice address

2170 Bankston Cir
Snellville, GA 30078-5718

Phone

(678) 790-9333

NPI assigned

Jun 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Queeny Etim

Title

Owner

Phone

(678) 790-9333

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1003229667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 BANKSTON CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785718",
            "telephone_number": "678-790-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 BANKSTON CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785718",
            "telephone_number": "678-790-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ETIM",
        "authorized_official_first_name": "QUEENY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-790-9333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Snellville, GA
• Providers in Snellville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.