Allied Health Services Georgia

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

060-R-0952 Issued in GA

Legal business name

ALLIED HEALTH SERVICES GEORGIA

Practice address

5530 Old National Hwy
Suite C
College Park, GA 30349-3356

Phone

(404) 763-0055

Fax

(404) 763-0058

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By 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

Mr. Kalil Kargbo

Title

Ceo & President

Phone

(404) 763-0055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1639414022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 OLD NATIONAL HWY",
            "address_2": "SUITE C",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493356",
            "telephone_number": "404-763-0055",
            "fax_number": "404-763-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 OLD NATIONAL HWY",
            "address_2": "SUITE C",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493356",
            "telephone_number": "404-763-0055",
            "fax_number": "404-763-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALTH SERVICES GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "KALIL",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "404-763-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.