Justin Homecare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

115-R-1095 Issued in GA

Legal business name

JUSTIN HOMECARE SERVICES, INC

Practice address

522 N Main St
Suite 104
Cedartown, GA 30125-2372

Phone

(404) 578-0379

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Ugonna

Title

Administrator/Operations Manager

Phone

(404) 578-0379

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1518385673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252372",
            "telephone_number": "404-578-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN HOMECARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "UGONNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "404-578-0379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "115-R-1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Rhonwyn Jennings
• Patricia Johnson
• Kenneth Wayne Jones Jr, MD
• Evan Jones
• Tracy Michelle Jones, RN, PMHNP
• K&J Community Steps Inc
• Lorraine Louise Kennedy
• Don Cleveland Kilcrease Jr.
• Sophia Kirchhoff, DO
• Mandy Leann Kisor, FNP-C

• Home Health Agency in Cedartown, GA
• Providers in Cedartown, 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 Apr 4, 2014; 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.