Caedracare Health LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CAEDRACARE HEALTH LLC

Practice address

1274 Rock Chapel Rd
Lithonia, GA 30058-5833

Phone

(706) 459-1875

Fax

(678) 476-1699

NPI assigned

Oct 1, 2025

Organization subpart

No

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

Authorized official

Name

Godwin Moyo

Title

Senior Management

Phone

(470) 886-8125

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1063386340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 STEPHENSON RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585942",
            "telephone_number": "470-886-8125",
            "fax_number": "678-476-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 ROCK CHAPEL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585833",
            "telephone_number": "706-459-1875",
            "fax_number": "678-476-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAEDRACARE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MOYO",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_title_or_position": "SENIOR MANAGEMENT",
        "authorized_official_telephone_number": "470-886-8125"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Lithonia, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.