Rachel House,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

037-02-004-1 Issued in GA

Legal business name

RACHEL HOUSE,INC

Practice address

204 W Colquitt St
Sparks, GA 31647

Phone

(229) 549-6100

Fax

(229) 549-6100

NPI assigned

Jun 29, 2007

Last updated

Jun 19, 2008By 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

Mrs. Doretha Kay Dorminey, LPN

Title

Manager

Phone

(229) 549-6100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1265639512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "316470117",
            "telephone_number": "229-549-6100",
            "fax_number": "229-549-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W COLQUITT ST",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "31647",
            "telephone_number": "229-549-6100",
            "fax_number": "229-549-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL HOUSE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DORMINEY",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-549-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "037-02-004-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000893241A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Holloway
• JBKT Enterprises, LLC (The Rachel House)
• Adrian Johnson, RN
• Kayse Deann Layfield
• Jessica Pope
• Serenity Assisted Living LLC (Serenity)
• Mona Lisa Sirmans
• Sparks Retirement Home
• The Final Seal

• Home Health Agency in Sparks, GA
• Providers in Sparks, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.