Organization Active NPI

Candor Healthcare Inc.

  • Home Health Agency
  • Suwanne, GA
National Provider Identifier
1447509302
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANDOR HEALTHCARE INC.
Practice address
4021 Oak Crossing Dr
Suwanne, GA 30024-6518
Phone
(678) 618-6401
NPI assigned
Sep 6, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Victoria A Ikoro
Title
President
Phone
(678) 618-6401

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4021 Oak Crossing Dr
Suwanne, GA 30024-6518

Mailing address

4021 Oak Crossing Dr
Suwanne, GA 30024-6518
Phone (678) 618-6401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2012.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1447509302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 OAK CROSSING DR",
            "city": "SUWANNE",
            "state": "GA",
            "postal_code": "300246518",
            "telephone_number": "678-618-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 OAK CROSSING DR",
            "city": "SUWANNE",
            "state": "GA",
            "postal_code": "300246518",
            "telephone_number": "678-618-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "IKORO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-618-6401"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.