NPIMap

Organization Active NPI

First Corinthian Homecare, Inc.

  • In Home Supportive Care Agency
  • Montezuma, GA
National Provider Identifier
1124458427
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
046-R-1142 Issued in GA
Legal business name
FIRST CORINTHIAN HOMECARE, INC.
Practice address
121 S Dooly St
Montezuma, GA 31063-1603
Phone
(478) 472-0150
Fax
(478) 472-0157
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Mr. Ted Ibegbulam
Title
Director
Phone
(478) 472-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 046-R-1142 GA Primary

Addresses

Primary practice location

121 S Dooly St
Montezuma, GA 31063-1603

Mailing address

121 S Dooly St
Montezuma, GA 31063-1603
Phone (478) 472-0150

National Provider Directory

National Provider Directory
Tax ID family
First Corinthian Homecare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 S Dooly St
Montezuma, GA 31063
Phone (478) 472-0150

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1124458427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631603",
            "telephone_number": "478-472-0150",
            "fax_number": "478-472-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631603",
            "telephone_number": "478-472-0150",
            "fax_number": "478-472-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CORINTHIAN HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "IBEGBULAM",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-472-0161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "046-R-1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.