Organization Active NPI

Patab Healthcare Services Limited Co

  • Nursing Care Agency
  • Acworth, GA
National Provider Identifier
1215503131
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PATAB HEALTHCARE SERVICES LIMITED CO
Practice address
4621 Waters Edge LN NW
Acworth, GA 30101-6238
Phone
(404) 422-4315
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Simeon Osita Nwegbo, PARTNER
Title
General Manager
Phone
(404) 422-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

4621 Waters Edge LN NW
Acworth, GA 30101-6238

Mailing address

4621 Waters Edge LN NW
Acworth, GA 30101-6238
Phone (404) 422-4315

Other practice location 1

5074 Centennial Commons Dr NW
Acworth, GA 30102-2167
Phone (470) 507-3067

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1215503131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 WATERS EDGE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016238",
            "telephone_number": "404-422-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 WATERS EDGE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016238",
            "telephone_number": "404-422-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5074 Centennial Commons Dr NW",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301022167",
            "country_code": "US",
            "telephone_number": "470-507-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATAB HEALTHCARE SERVICES LIMITED CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "NWEGBO",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "OSITA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "404-422-4315",
        "authorized_official_credential": "PARTNER"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.