Domi Healthcare Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

DOMI HEALTHCARE SERVICES, LLC

Practice address

903 Pavilion CT Ste K
McDonough, GA 30253-5224

Phone

(678) 826-6512

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By 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. Patrick Jean-Marie

Title

Administrator

Phone

(678) 826-6512

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1215643770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE K",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535224",
            "telephone_number": "678-826-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE K",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535224",
            "telephone_number": "678-826-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMI HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "JEAN-MARIE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-826-6512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.