Organization Active NPI

Alpha-Ohms Healthcare, LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1407341175
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-R-1623 Issued in GA
Legal business name
ALPHA-OHMS HEALTHCARE, LLC
Practice address
5409 The Vyne Ave
Atlanta, GA 30349-8736
Phone
(404) 655-9155
Fax
(404) 600-5396
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Chinedu Ubani
Title
Administrator
Phone
(404) 655-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-1623 GA Primary

Addresses

Primary practice location

5409 The Vyne Ave
Atlanta, GA 30349-8736

Mailing address

5409 The Vyne Ave
Atlanta, GA 30349-8736
Phone (404) 655-9155

Other identifiers 3

IdentifierTypeStateIssuer
003205291AMedicaidGA
003204165BMedicaidGA
003204165AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1407341175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 THE VYNE AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498736",
            "telephone_number": "404-655-9155",
            "fax_number": "404-600-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 THE VYNE AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498736",
            "telephone_number": "404-655-9155",
            "fax_number": "404-600-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA-OHMS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "UBANI",
        "authorized_official_first_name": "CHINEDU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-655-9155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205291A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204165B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204165A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.