Active NPI
Dyuto Oretha Mehdeh
- In Home Supportive Care Agency
- Savannah, GA
National Provider Identifier
1154748622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 4817903
- Practice address
- 153 Dovetail Xing
Savannah, GA 31419-8995 - Phone
- (912) 920-6220
- Fax
- (912) 920-6288
- NPI assigned
- Mar 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 4817903 | GA | Primary |
Addresses
Primary practice location
153 Dovetail Xing
Savannah, GA 31419-8995
Mailing address
153 Dovetail Xing
Savannah, GA 31419-8995
Phone (912) 920-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4817903 | GA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395532800000",
"number": "1154748622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 DOVETAIL XING",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198995",
"telephone_number": "912-920-6220",
"fax_number": "912-920-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 DOVETAIL XING",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198995",
"telephone_number": "912-920-6220",
"fax_number": "912-920-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHDEH",
"first_name": "DYUTO",
"middle_name": "ORETHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-23",
"last_updated": "2014-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "4817903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.