The Johnickie Group

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE JOHNICKIE GROUP

Doing business as

Johnickie Spahouse

Practice address

5050 Union St Unit 805
Union City, GA 30291-2729

Phone

(678) 733-0141

Fax

(404) 393-2101

NPI assigned

Sep 11, 2015

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pomdrest J Henry

Title

Owner

Phone

(678) 733-0141

Specialties & licenses 4

Addresses

Other names 1

• Johnickie Spahouse Doing business as

Locations

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1598133266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 UNION ST UNIT 805",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912729",
            "telephone_number": "404-810-1971",
            "fax_number": "404-420-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 UNION ST UNIT 805",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912729",
            "telephone_number": "678-733-0141",
            "fax_number": "404-393-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNICKIE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "POMDREST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-733-0141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnickie Spahouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Union City, GA
• Providers in Union City, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.