Professional Health Services, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

069-R-0004 Issued in GA

Legal business name

PROFESSIONAL HEALTH SERVICES, INC.

Practice address

977 Enota Ave NE
Gainesville, GA 30501-1700

Phone

(770) 536-5700

Fax

(770) 535-7508

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Warren Whelchel Vickers

Title

Cfo

Phone

(770) 536-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1508031527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "770-536-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "770-536-5700",
            "fax_number": "770-535-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "WHELCHEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-536-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "069-R-0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.