Organization Active NPI

Functions Healthcare Services LLC

  • Home Health Agency
  • McDonough, GA
National Provider Identifier
1396035044
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT010118 Issued in GA
Legal business name
FUNCTIONS HEALTHCARE SERVICES LLC
Practice address
127 Lake Ter
McDonough, GA 30253-6546
Phone
(678) 793-7887
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Olugbenga Ogunsanya, PT, DPTNPI 1275833295
Title
Executive Director
Phone
(678) 793-7887

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 PT010118 GA Primary

Addresses

Primary practice location

127 Lake Ter
McDonough, GA 30253-6546

Mailing address

127 Lake Ter
McDonough, GA 30253-6546
Phone (678) 793-7887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1396035044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LAKE TER",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536546",
            "telephone_number": "678-793-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LAKE TER",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536546",
            "telephone_number": "678-793-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "OGUNSANYA",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-793-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "PT010118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.