NPIMap

Organization Active NPI

Bethesda Healthcare Services

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1104177427
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BETHESDA HEALTHCARE SERVICES
Practice address
2692 Candler Dr SW
Marietta, GA 30064-4263
Phone
(770) 222-9995
Fax
(678) 401-8285
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mr. Reuben Ikeme Onwuzuruoha
Title
Administrator
Phone
(404) 219-3444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2692 Candler Dr SW
Marietta, GA 30064-4263

Mailing address

PO Box 792
Smyrna, GA 30081-0792
Phone (770) 222-9995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1104177427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300810792",
            "telephone_number": "770-222-9995",
            "fax_number": "678-401-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 CANDLER DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644263",
            "telephone_number": "770-222-9995",
            "fax_number": "678-401-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "ONWUZURUOHA",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "IKEME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-219-3444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.