Active NPI
Lakeitha Michelle Randolph, C.N.A
- Home Health Aide
- Warner Robins, GA
National Provider Identifier
1609008986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 343 Johns Road
Wonder Care Home Health
Warner Robins, GA 31601 - Phone
- (478) 225-4887
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
343 Johns Road
Wonder Care Home Health
Warner Robins, GA 31601
Mailing address
343 Johns Road
Wonder Care Home Health
Warner Robins, GA 31601
Phone (478) 225-4887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1609008986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 JOHNS ROAD",
"address_2": "WONDER CARE HOME HEALTH",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31601",
"telephone_number": "478-225-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 JOHNS ROAD",
"address_2": "WONDER CARE HOME HEALTH",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31601",
"telephone_number": "478-225-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "LAKEITHA",
"middle_name": "MICHELLE",
"credential": "C.N.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.