NPIMap

Organization Active NPI

Creut Healthcare, Inc.

  • Home Health Agency
  • Fairburn, GA
National Provider Identifier
1033519871
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-R-1067 Issued in GA
Legal business name
CREUT HEALTHCARE, INC.
Practice address
6982 Misttop Loop
Fairburn, GA 30213-3060
Phone
(678) 591-4901
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Angela Chinenye Okiyie, REGISTERED NURSE
Title
Admistrator
Phone
(678) 591-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-1067 GA Primary

Addresses

Primary practice location

6982 Misttop Loop
Fairburn, GA 30213-3060

Mailing address

6982 Misttop Loop
Fairburn, GA 30213-3060
Phone (678) 591-4901

Other identifiers 1

IdentifierTypeStateIssuer
003141520AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Creut Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1033519871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6982 MISTTOP LOOP",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133060",
            "telephone_number": "678-591-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6982 MISTTOP LOOP",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133060",
            "telephone_number": "678-591-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREUT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "OKIYIE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHINENYE",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "678-591-4901",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141520A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.