Organization Active NPI

Medpro Health Services Inc.

  • Respite Care
  • Covington, GA
National Provider Identifier
1174356091
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MEDPRO HEALTH SERVICES INC.
Practice address
80 Quarry CT
Covington, GA 30014-8451
Phone
(678) 779-0084
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Cherlise Forshee
Title
Owner
Phone
(678) 779-0084

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Respite Care 385H00000X Primary
Respite Care Camp 385HR2050X

Addresses

Primary practice location

80 Quarry CT
Covington, GA 30014-8451

Mailing address

3559 Cherry Ridge Blvd
Decatur, GA 30034-5010
Phone (678) 779-0084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1174356091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 CHERRY RIDGE BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345010",
            "telephone_number": "678-779-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 QUARRY CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148451",
            "telephone_number": "678-779-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "FORSHEE",
        "authorized_official_first_name": "CHERLISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-779-0084"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.