Organization Active NPI

Sankofa Healing and Enrichment, Inc.

  • Respite Care
  • Waycross, GA
National Provider Identifier
1104152339
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SANKOFA HEALING AND ENRICHMENT, INC.
Practice address
2932 N Clough Bay Rd
Waycross, GA 31503-6731
Phone
(912) 284-1172
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Michelle Gamble
Title
Director
Phone
(912) 284-1172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

2932 N Clough Bay Rd
Waycross, GA 31503-6731

Mailing address

2932 N Clough Bay Rd
Waycross, GA 31503-6731
Phone (912) 284-1172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1104152339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 N CLOUGH BAY RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315036731",
            "telephone_number": "912-284-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 N CLOUGH BAY RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315036731",
            "telephone_number": "912-284-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA HEALING AND ENRICHMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-284-1172",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.