Autumn Home Health Tcof

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AUTUMN HOME HEALTH TCOF

Practice address

110 Trinity Dr
Covington, GA 30016

Phone

(678) 451-4226

NPI assigned

Jun 15, 2017

Last updated

Jun 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tisha OwesNPI 1922538529

Title

Owner

Phone

(678) 451-4226

Specialties & licenses 1

Addresses

Other names 1

• AHHTCOF Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tisha Owes

  • Home Health Agency
  • Covington, GA
  • NPI 1922538529
  NPD (past) Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1477083079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TRINITY DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRINITY DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "678-451-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HOME HEALTH TCOF",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "OWES",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-451-4226"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHHTCOF",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AHHTCOF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Covington, GA
• Providers in Covington, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.