NPIMap

Organization Active NPI

Creut Health Care, Inc.

  • Home Health Agency
  • Fairburn, GA
National Provider Identifier
1407295843
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-R-1067 Issued in GA
Legal business name
CREUT HEALTH CARE, INC.
Practice address
6982 Misttop Loop
Fairburn, GA 30213-3060
Phone
(678) 591-4901
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CREUT HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Mrs. Angela Chinenye Okiyie, BSN, RN
Title
Administrator
Phone
(678) 591-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-1067 GA Primary

Addresses

Primary practice location

6982 Misttop Loop
Fairburn, GA 30213-3060

Mailing address

6982 Misttop Loop
Fairburn, GA 30213-3060
Phone (678) 591-4901

National Provider Directory

National Provider Directory
Tax ID family
Creut Healthcare Inc2 organizations share this tax ID, including this one
Part of
Creut Healthcare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1407295843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6982 MISTTOP LOOP",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133060",
            "telephone_number": "678-591-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6982 MISTTOP LOOP",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133060",
            "telephone_number": "678-591-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREUT HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREUT HEALTH CARE, INC.",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "OKIYIE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHINENYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-591-4901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.