Micole Health Services Inc.

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

MICOLE HEALTH SERVICES INC.

Practice address

4548 Tulip CT
Lithonia, GA 30038-6244

Phone

(678) 200-3363

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Colet Ifeanyi Odenigbo, MPA

Title

Administrator

Phone

(678) 200-3363

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1396330171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 TULIP CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386244",
            "telephone_number": "678-200-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 TULIP CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386244",
            "telephone_number": "678-200-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICOLE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ODENIGBO",
        "authorized_official_first_name": "COLET",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-200-3363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lithonia",
            "affiliation": "N",
            "address_1": "4548 Tulip Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300386244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.