Organization Active NPI

Cleansparrow LLC

  • Durable Medical Equipment & Medical Supplies
  • Covington, GA
National Provider Identifier
1568117877
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLEANSPARROW LLC
Practice address
215 Hoglen Dr
Covington, GA 30016-2906
Phone
(215) 327-8057
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Keirsun Thompson
Title
Owner
Phone
(215) 327-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

215 Hoglen Dr
Covington, GA 30016-2906

Mailing address

215 Hoglen Dr
Covington, GA 30016-2906
Phone (215) 327-8057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1568117877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HOGLEN DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300162906",
            "telephone_number": "215-327-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HOGLEN DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300162906",
            "telephone_number": "215-327-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEANSPARROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEIRSUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-327-8057"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.