Edc Home Modifications LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EDC HOME MODIFICATIONS LLC

Practice address

2674 Flair Knoll Dr NE
Atlanta, GA 30345-1318

Phone

(678) 665-3589

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Erin Dichiara, OTNPI 1821154923

Title

Providet/Owner

Phone

(678) 665-3589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Dichiara, MAOTR

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1821154923
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1063011849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 FLAIR KNOLL DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451318",
            "telephone_number": "678-665-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 FLAIR KNOLL DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451318",
            "telephone_number": "678-665-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC HOME MODIFICATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "DICHIARA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PROVIDET/OWNER",
        "authorized_official_telephone_number": "678-665-3589",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Engle Economos, MD
• Lee N. Economy, FNP
• Ecp Consulting Services LLC
• Eda Hochgelerent, MD., Nephrology
• Faramarz Edalat, MD
• Lara Eddleman, MS, CCTP
• Hind Aya Eddouh
• Brittany Allyce Eddy
• Kaitlin Kelly Eddy, PA
• Destine Ede, MD

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.