Active NPI
Restoration Care Services, LLC
- Home Health Agency
- Valdosta, GA
National Provider Identifier
1376038042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 092-R-1862
- Legal business name
- RESTORATION CARE SERVICES, LLC
- Practice address
- 704 Lake Park Road
Valdosta, GA 31601 - Phone
- (229) 269-2294
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 26, 2018
- Organization subpart
- Yes
- Parent organization
- -
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Denise Smith Jones, SITTER/COMPANION
- Title
- Director/Owner
- Phone
- (229) 269-2294
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 092-R-1862 | GA | Primary |
Addresses
Primary practice location
704 Lake Park Road
Valdosta, GA 31601
Mailing address
PO Box 4116
Valdosta, GA 31604-4116
Phone (229) 269-2294
National Provider Directory
National Provider Directory- Part of
- Restoration Care Services LLC
Locations
704 Lake Park Rd
Valdosta, GA 31601
Phone (229) 269-2294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Valdosta, GA
- NPI 1538654173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529971200000",
"number": "1376038042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4116",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316044116",
"telephone_number": "229-269-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 LAKE PARK ROAD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31601",
"telephone_number": "229-269-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION CARE SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "-",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "DENISE SMITH",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "229-269-2294",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "SITTER/COMPANION"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "092-R-1862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.