Intermed Health Care Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

044-R-0427 Issued in GA

Legal business name

INTERMED HEALTH CARE SERVICES, INC.

Practice address

1770 Old Spring House LN Ste 108
Atlanta, GA 30338-6213

Phone

(770) 455-3817

Fax

(770) 455-3828

NPI assigned

Jun 16, 2013

Organization subpart

No

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

Authorized official

Name

Olga Botezat

Title

Administrator

Phone

(770) 722-3565

Specialties & licenses 1

Addresses

Other names 1

• InterMed SOURCE Doing business as

Locations

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1386083020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767547",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767547",
            "telephone_number": "770-455-3828",
            "fax_number": "770-455-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 OLD SPRING HOUSE LN STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386213",
            "telephone_number": "770-455-3817",
            "fax_number": "770-455-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A",
        "authorized_official_last_name": "BOTEZAT",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-722-3565"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "044-R-0427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterMed SOURCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Case Management Agency in Georgia

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