Active NPI
Moreen Ngozi Areh, ELITE HOME HEALTH RN
- Registered Nurse
- Mableton, GA
National Provider Identifier
1417100413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN152067
- Practice address
- 5003 Lake Mist Dr SE
Mableton, GA 30126-5981 - Phone
- (678) 662-7451
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN152067 | GA | Primary |
Addresses
Primary practice location
5003 Lake Mist Dr SE
Mableton, GA 30126-5981
Mailing address
5003 Lake Mist Dr SE
Mableton, GA 30126-5981
Phone (678) 662-7451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN152067 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1417100413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 LAKE MIST DR SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265981",
"telephone_number": "678-662-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5003 LAKE MIST DR SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265981",
"telephone_number": "678-662-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREH",
"first_name": "MOREEN",
"middle_name": "NGOZI",
"credential": "ELITE HOME HEALTH RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN152067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.