Organization Active NPI

Restoration Care Services, LLC

  • Home Health Agency
  • Valdosta, GA
National Provider Identifier
1376038042
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
092-R-1862 Issued in GA
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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/COMPANIONNPI 1538654173
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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.