Ourway Dementia

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OURWAY DEMENTIA

Doing business as

Ourway Dementia Services LLC

Practice address

1220 Lambeth Way SE
Conyers, GA 30013-1753

Phone

(470) 726-0405

Fax

(678) 550-9941

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Chantelle Johnson Johnson

Title

Owner/ Dementia Specialist

Phone

(470) 726-0405

Specialties & licenses 1

Addresses

Other names 1

• Ourway Dementia Services LLC Doing business as

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1457089724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LAMBETH WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131753",
            "telephone_number": "678-338-5812",
            "fax_number": "678-550-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LAMBETH WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131753",
            "telephone_number": "470-726-0405",
            "fax_number": "678-550-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURWAY DEMENTIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER/ DEMENTIA SPECIALIST",
        "authorized_official_telephone_number": "470-726-0405"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ourway Dementia Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.