Organization Active NPI

Contact in-Home Care, LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1588844823
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
067-R-0268 Issued in GA
Legal business name
CONTACT IN-HOME CARE, LLC
Doing business as
Contact Medical
Practice address
375 Scenic Hwy
Lawrenceville, GA 30046-5672
Phone
(770) 807-8910
Fax
(678) 999-5234
NPI assigned
Nov 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Akachukwu I Onyiliogwu, M.D.
Title
Administrator
Phone
(770) 807-8910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 067-R-0268 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 6698820001 GA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 6698820001 GA

Addresses

Primary practice location

375 Scenic Hwy
Lawrenceville, GA 30046-5672

Mailing address

PO Box 1105
Lawrenceville, GA 30046-1105
Phone (770) 807-8910

Other identifiers 1

IdentifierTypeStateIssuer
692175077DMedicaidGA

Other names 1

  • Contact Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000496 GA DME Supplier - Medical Supply CompanyDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 3577710086 Practice locations: Lawrenceville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Contact in-Home Care, LLC375 Scenic Hwy, Lawrenceville, GA 30046-5672(770) 807-8910 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Osteogenesis Stimulators|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/… Does not accept assignmentParticipating since Jun 18, 2012

National Provider Directory

National Provider Directory

Locations

470 N Clayton St
Ste 105
Lawrenceville, GA 30046
Phone (678) 978-8667

375 Scenic Hwy
Lawrenceville, GA 30046
Phone (770) 807-8910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1588844823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300461105",
            "telephone_number": "770-807-8910",
            "fax_number": "678-999-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465672",
            "telephone_number": "770-807-8910",
            "fax_number": "678-999-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ONYILIOGWU",
        "authorized_official_first_name": "AKACHUKWU",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-807-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-0268",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "6698820001",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "6698820001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692175077D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contact Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Contact Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.