Organization Active NPI

Manuesth LLC

  • Nursing Care Agency
  • Grovetown, GA
National Provider Identifier
1275382004
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MANUESTH LLC
Practice address
503 Myrtle CRST
Grovetown, GA 30813-2299
Phone
(706) 619-7612
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Adebo Comfort FaokunlaNPI 1598512493
Title
Ceo
Phone
(706) 619-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

503 Myrtle CRST
Grovetown, GA 30813-2299

Mailing address

503 Myrtle CRST
Grovetown, GA 30813-2299
Phone (706) 619-7612

Other names 1

  • MANUESTH HOMECARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1275382004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MYRTLE CRST",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132299",
            "telephone_number": "706-619-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MYRTLE CRST",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132299",
            "telephone_number": "706-619-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUESTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "FAOKUNLA",
        "authorized_official_first_name": "ADEBO",
        "authorized_official_middle_name": "COMFORT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-619-7612"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANUESTH HOMECARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.