Individual provider Active NPI

Chioma J Offodile

  • In Home Supportive Care Agency
  • Riverdale, GA
National Provider Identifier
1619463718
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
7803 Bar Harbor Dr
Riverdale, GA 30296-3370
Phone
(404) 429-5597
NPI assigned
Jul 2, 2018
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-1829 GA
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

7803 Bar Harbor Dr
Riverdale, GA 30296-3370

Mailing address

7803 Bar Harbor Dr
Riverdale, GA 30296-3370
Phone (404) 429-5597

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

State licenses

LicenseStateTypeSpecialty
060-R-1829GAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Razom Lab Services LLC CurrentSince Feb 6, 2022 Accepting new patients
Razom Healthcare, LLC Home Health CurrentSince Jul 5, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1619463718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 BAR HARBOR DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302963370",
            "telephone_number": "404-429-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 BAR HARBOR DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302963370",
            "telephone_number": "404-429-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFODILE",
        "first_name": "CHIOMA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1829",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.