Organization Active NPI

Golfvista One LLC

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1609702976
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLFVISTA ONE LLC
Practice address
2360 Summit Oaks CT
Lawrenceville, GA 30043-8127
Phone
(678) 644-0959
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Titus Obiorah
Title
President
Phone
(678) 644-0959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2360 Summit Oaks CT
Lawrenceville, GA 30043-8127

Mailing address

2360 Summit Oaks CT
Lawrenceville, GA 30043-8127
Phone (678) 644-0959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1609702976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 SUMMIT OAKS CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438127",
            "telephone_number": "678-644-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SUMMIT OAKS CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438127",
            "telephone_number": "678-644-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLFVISTA ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "OBIORAH",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-644-0959"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2026; 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.