Active NPI
University Health Services, Inc.
- Home Health Agency
- Martinez, GA
National Provider Identifier
1356399547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 121-216
- Legal business name
- UNIVERSITY HEALTH SERVICES, INC.
- Doing business as
- University Home Health Martinez
- Practice address
- 4106 Columbia Rd
Suite 102
Martinez, GA 30907-1450 - Phone
- (706) 868-3220
- Fax
- (706) 868-3221
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Moore
- Title
- Exec VP/Coo
- Phone
- (706) 722-9011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 121-216 | GA | Primary |
Addresses
Primary practice location
4106 Columbia Rd
Suite 102
Martinez, GA 30907-1450
Mailing address
4106 Columbia Rd
Suite 102
Martinez, GA 30907-1450
Phone (706) 868-3220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00769557A | Medicaid | GA | |
| 6659 | Other | JCAHO |
Other names 1
- University Home Health Martinez
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356399547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 COLUMBIA RD",
"address_2": "SUITE 102",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309071450",
"telephone_number": "706-868-3220",
"fax_number": "706-868-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 COLUMBIA RD",
"address_2": "SUITE 102",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309071450",
"telephone_number": "706-868-3220",
"fax_number": "706-868-3221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "EXEC VP/COO",
"authorized_official_telephone_number": "706-722-9011",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "121-216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00769557A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JCAHO",
"identifier": "6659",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Home Health Martinez",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.