Active NPI
Lauretta Louis Healthcare
- Home Health Agency
- Mableton, GA
National Provider Identifier
1386229656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.