Active NPI
Contact in-Home Care, LLC
- Home Health Agency
- Lawrenceville, GA
National Provider Identifier
1588844823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 067-R-0268
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692175077D | Medicaid | GA |
Other names 1
- Contact Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120905000496 | GA | DME Supplier - Medical Supply Company | 3577710086 | Practice locations: Lawrenceville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Contact in-Home Care, LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Student in an Organized Health Care Education/Training Program
- Gainesville, GA
- NPI 1710781588
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.