Elodell Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

044-R-0166 Issued in GA

Legal business name

ELODELL HEALTHCARE SERVICES, INC

Practice address

5716 Winchester PL
Lithonia, GA 30038-4082

Phone

(770) 255-8324

Fax

(770) 322-0808

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Letitia Richison

Title

Administrator

Phone

(770) 255-8324

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1235318486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581020",
            "telephone_number": "770-255-8324",
            "fax_number": "770-322-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 WINCHESTER PL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384082",
            "telephone_number": "770-255-8324",
            "fax_number": "770-322-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELODELL HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "RICHISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LETITIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-255-8324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-0166",
            "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 Oct 24, 2007; 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.