Organization Active NPI

Occeus Holistic Care, LLC

  • Adult Day Care Clinic/Center
  • Hinesville, GA
National Provider Identifier
1639670433
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Mar 14, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.