Haytemple LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAYTEMPLE LLC

Practice address

509 Preston Park Dr # 509
Duluth, GA 30096-8817

Phone

(470) 504-5618

NPI assigned

Mar 4, 2024

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Monsunmola Adewale

Title

Administrator

Phone

(470) 504-5618

Specialties & licenses 1

Addresses

Part of

Haytemple LLC

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1447017884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PRESTON PARK DR # 509",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968817",
            "telephone_number": "470-504-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PRESTON PARK DR # 509",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968817",
            "telephone_number": "470-504-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYTEMPLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "MONSUNMOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-504-5618"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.