Self-Investment Enrichment Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SELF-INVESTMENT ENRICHMENT SERVICES

Practice address

2020 Avalon Pkwy
Suite 165
McDonough, GA 30253-3087

Phone

(678) 833-1812

Fax

(678) 833-1825

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Adria Nicole Wiggins

Title

Director

Phone

(678) 833-1812

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1396015962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY",
            "address_2": "SUITE 165",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533087",
            "telephone_number": "678-833-1812",
            "fax_number": "678-833-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY",
            "address_2": "SUITE 165",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533087",
            "telephone_number": "678-833-1812",
            "fax_number": "678-833-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-INVESTMENT ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-833-1812"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.