Gentlecove Health Care Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GENTLECOVE HEALTH CARE SERVICES

Practice address

560 Grady Ave
Suite D
Fayetteville, GA 30214-1975

Phone

(678) 846-5522

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Debra N, RN, BSC, BA

Title

Administrator

Phone

(678) 846-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1316300213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302140841",
            "telephone_number": "678-846-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GRADY AVE",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141975",
            "telephone_number": "678-846-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLECOVE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "N",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-846-5522",
        "authorized_official_credential": "RN, BSC, BA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "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 Mar 30, 2016; 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.