L & P Multicare Service, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

060-R-1118 Issued in GA

Legal business name

L & P MULTICARE SERVICE, INC

Practice address

2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8300

Phone

(404) 543-9163

Fax

(678) 802-4829

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Ferdinand Mediko

Title

Ceo

Phone

(404) 543-9163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1346661568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188300",
            "telephone_number": "404-543-9163",
            "fax_number": "678-802-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188300",
            "telephone_number": "404-543-9163",
            "fax_number": "678-802-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & P MULTICARE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "MEDIKO",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-543-9163"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": "060-R-1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nursing Facility/Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.