Organization Active NPI

Lauretta Louis Healthcare

  • Home Health Agency
  • Mableton, GA
National Provider Identifier
1386229656
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAURETTA LOUIS HEALTHCARE
Doing business as
Lauretta Louis Homehealthcare
Practice address
515 Mount Gerizim Rd SE
Mableton, GA 30126-6403
Phone
(678) 200-4106
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Mr. Ekan Adeghe
Title
Director
Phone
(678) 200-4106

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

515 Mount Gerizim Rd SE
Mableton, GA 30126-6403

Mailing address

515 Mount Gerizim Rd SE
Mableton, GA 30126-6403
Phone (678) 200-4106

Other names 1

  • Lauretta Louis Homehealthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1386229656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOUNT GERIZIM RD SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266403",
            "telephone_number": "678-200-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOUNT GERIZIM RD SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266403",
            "telephone_number": "678-200-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURETTA LOUIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "ADEGHE",
        "authorized_official_first_name": "EKAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-200-4106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauretta Louis Homehealthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.