Octavia Bostic

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

7670 Creekside Lane
Riverdale, GA 30296

Phone

(863) 777-3846

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr.Bostic Private Home Care

  • Home Health Aide
  • Riverdale, GA
  • NPI 1801438288
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1255973251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 CREEKSIDE LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961173",
            "telephone_number": "863-777-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 CREEKSIDE LANE",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30296",
            "telephone_number": "863-777-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "OCTAVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Board
• Bolt Eye Group - Riverdale, LLC (Bolt Eye Group)
• Geetha Maheswaramma Bommana, MD
• Aparna Bondalapati
• Berta E Booth, PA
• Michael Bourland, MD
• Boyha Inc
• Tiara Bracey
• Chanlar Brewster
• Bridge 4 Health Services, LLC

• Nurse's Aide in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.