Denhavens PCH, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DENHAVENS PCH, INC.

Practice address

3675 Crestwood Pkwy NW Ste 400
Duluth, GA 30096-5054

Phone

(404) 441-1000

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Celia Modicue

Title

Director

Phone

(404) 441-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1265219091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965054",
            "telephone_number": "404-441-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965054",
            "telephone_number": "404-441-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 Crestwood Pkwy NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965054",
            "country_code": "US",
            "telephone_number": "404-441-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENHAVENS PCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "MODICUE",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-441-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Sep 14, 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.