Cceno Home Healthcare SVCS, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110R0673 Issued in GA

Legal business name

CCENO HOME HEALTHCARE SVCS, INC

Practice address

5745 Wendy Bagwell Pkwy
Suite 1
Hiram, GA 30141-2805

Phone

(770) 693-9465

Fax

(877) 832-2127

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By 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. Ndubuisi Godwin Ochuba, B.SC; MBA

Title

Program Administrator

Phone

(770) 693-9465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1174899462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270054",
            "telephone_number": "770-693-9465",
            "fax_number": "877-832-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 WENDY BAGWELL PKWY",
            "address_2": "SUITE 1",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412805",
            "telephone_number": "770-693-9465",
            "fax_number": "877-832-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCENO HOME HEALTHCARE SVCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "OCHUBA",
        "authorized_official_first_name": "NDUBUISI",
        "authorized_official_middle_name": "GODWIN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "770-693-9465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.SC; MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "110R0673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hiram, GA
• Providers in Hiram, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.