Active NPI
Medpro Health Services Inc.
- Respite Care
- Covington, GA
National Provider Identifier
1174356091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.