Advance Home Care & Medical Services, Inc.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN157280 Issued in GA

Legal business name

ADVANCE HOME CARE & MEDICAL SERVICES, INC.

Practice address

1109 Garrison Plantation Dr SE
Marietta, GA 30060-3145

Phone

(770) 572-9328

Fax

(404) 445-8008

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Augustine Ezeh Okiyie, LPN

Title

Owner/Ceo

Phone

(770) 572-9328

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1124531991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GARRISON PLANTATION DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300603145",
            "telephone_number": "770-572-9328",
            "fax_number": "404-445-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GARRISON PLANTATION DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300603145",
            "telephone_number": "770-572-9328",
            "fax_number": "404-445-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOME CARE & MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "OKIYIE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "EZEH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-572-9328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN157280",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN075934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Marietta, GA
• Providers in Marietta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.