Organization Active NPI

Presidential Care Inc.

  • Home Health Agency
  • Lithonia, GA
National Provider Identifier
1285974741
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESIDENTIAL CARE INC.
Practice address
6322 Windy Ridge Way
Lithonia, GA 30058-6630
Phone
(404) 625-3566
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Mr. Mba Ukoha Kalu, R.PH.NPI 1578710497
Title
Ceo
Phone
(404) 625-3566

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
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

6322 Windy Ridge Way
Lithonia, GA 30058-6630

Mailing address

6322 Windy Ridge Way
Lithonia, GA 30058-6630
Phone (404) 625-3566

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": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1285974741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 WINDY RIDGE WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586630",
            "telephone_number": "404-625-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 WINDY RIDGE WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586630",
            "telephone_number": "404-625-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDENTIAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "MBA",
        "authorized_official_middle_name": "UKOHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-625-3566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.