Organization Active NPI

Calvary Care Hospice

  • Respite Care
  • Macon, GA
National Provider Identifier
1114080264
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CALVARY CARE HOSPICE
Practice address
1021 Daisy Park
Macon, GA 31201-2020
Phone
(478) 746-0919
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Mike Iteogu
Title
President
Phone
(478) 746-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

1021 Daisy Park
Macon, GA 31201-2020

Mailing address

1021 Daisy Park
Macon, GA 31201-2020
Phone (478) 746-0919

National Provider Directory

National Provider Directory

Locations

1021 Daisy Park
Macon, GA 31201
Phone (478) 746-0919

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1114080264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DAISY PARK",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012020",
            "telephone_number": "478-746-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DAISY PARK",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012020",
            "telephone_number": "478-746-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "ITEOGU",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-746-0919",
        "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 Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.