Active NPI
Occeus Holistic Care, LLC
- Adult Day Care Clinic/Center
- Hinesville, GA
National Provider Identifier
1639670433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- OCCEUS HOLISTIC CARE, LLC
- Practice address
- 734 Robin Hood Dr
Hinesville, GA 31313 - Phone
- (239) 738-8688
- NPI assigned
- Feb 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerllanne Occeus, RN
- Title
- Owner
- Phone
- (239) 738-8688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | PCH003426 | GA |
Addresses
Primary practice location
734 Robin Hood Dr
Hinesville, GA 31313
Mailing address
734 Robin Hood Dr
Hinesville, GA 31313-3985
Phone (239) 738-8688
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1639670433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 ROBIN HOOD DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313133985",
"telephone_number": "239-738-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 ROBIN HOOD DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "239-738-8688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCEUS HOLISTIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "OCCEUS",
"authorized_official_first_name": "KERLLANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-738-8688",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "GA",
"license": "PCH003426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.