Iyaho Social Services of Georgia Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

IYAHO SOCIAL SERVICES OF GEORGIA INC.

Practice address

3453 Holcomb Bridge Rd
Peachtree Corners, GA 30092-3128

Phone

(470) 545-0606

Fax

(470) 545-0497

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Henry Eromosele, ED

Title

Executive Director

Phone

(516) 280-5930

Specialties & licenses 1

Addresses

Other names 1

• IYAHO SOCIAL SERVICES OF GEORGIA INC. Doing business as

Locations

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1285407262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923128",
            "telephone_number": "470-545-0606",
            "fax_number": "470-545-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923128",
            "telephone_number": "470-545-0606",
            "fax_number": "470-545-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAHO SOCIAL SERVICES OF GEORGIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-280-5930",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IYAHO SOCIAL SERVICES OF GEORGIA INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katra Umer Hussein
• Injury & Wellness Specialists of Georgia
• Integrity Homecare and Nursing Service Agency
• Ioannis Ioannou, PSY.D.
• Jane'T D Irvin
• J3P LLC
• Ava Jakel, PT, DPT
• James Zimmerman MD
• Sterling James
• Marc Elie Jean-Jacques

• Developmentally Disabled Services Day Training Agency in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.