Organization Active NPI

Caugan Wellspring Inc

  • Home Health Agency
  • Douglasville, GA
National Provider Identifier
1417229873
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
048-R-0935 Issued in GA
Legal business name
CAUGAN WELLSPRING INC
Practice address
4220 Fox Den Dr
Douglasville, GA 30135-4374
Phone
(678) 601-1507
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mrs. Dawnette Denise Ganiga, MBA
Title
Administrator
Phone
(678) 601-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 048-R-0935 GA Primary

Addresses

Primary practice location

4220 Fox Den Dr
Douglasville, GA 30135-4374

Mailing address

4220 Fox Den Dr
Douglasville, GA 30135-4374
Phone (678) 601-1507

Other names 1

  • Aarmac Care Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1417229873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 FOX DEN DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354374",
            "telephone_number": "678-601-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 FOX DEN DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354374",
            "telephone_number": "678-601-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUGAN WELLSPRING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "GANIGA",
        "authorized_official_first_name": "DAWNETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-601-1507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "048-R-0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aarmac Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.