Individual provider Active NPI

Helen I Okeh

  • Personal Care Attendant
  • Kennesaw, GA
National Provider Identifier
1497339113
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
CN0028850162 Issued in GA
Practice address
4177 Havenwood CT NW
Kennesaw, GA 30144-7343
Phone
(678) 290-0070
Fax
(678) 290-0235
NPI assigned
May 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X CN0028850162 GA Primary

Addresses

Primary practice location

4177 Havenwood CT NW
Kennesaw, GA 30144-7343

Mailing address

PO Box 2754
Kennesaw, GA 30156-9113
Phone (678) 290-0070

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CN0028850162GAMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil, Inc. CurrentSince May 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1497339113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2754",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301569113",
            "telephone_number": "678-290-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 HAVENWOOD CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447343",
            "telephone_number": "678-290-0070",
            "fax_number": "678-290-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEH",
        "first_name": "HELEN",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": "CN0028850162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "address_1": "4177 Havenwood Ct NW",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.