Coram Deo Holdings

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CORAM DEO HOLDINGS

Doing business as

NW Georgia Home Health and Oxygen

Practice address

412 N Park Dr
Dalton, GA 30720-2635

Phone

(706) 996-3838

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Goddard II

Title

Owner

Phone

(706) 996-3838

Specialties & licenses 1

Addresses

Other names 1

• NW Georgia Home Health and Oxygen Doing business as

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1053895433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N PARK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202635",
            "telephone_number": "706-996-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N PARK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202635",
            "telephone_number": "706-996-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM DEO HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-996-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Georgia Home Health and Oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Cooper, RPH
• Jordan Cooper
• Steven Cooper, LCSW
• Zacherie Adam Cooper, DPT
• Hollie Nicole Cope, LMT, CNMT
• Kelly Coran
• Cornerstone Caregiving East LLC
• Cornerstone Medical Group
• Keri Leigh Cortolano
• Joni Lynne Coulter

• Durable Medical Equipment & Medical Supplies in Dalton, GA
• Providers in Dalton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.