Ageless Homecare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGELESS HOMECARE SERVICES INC

Practice address

10475 Medlock Bridge Rd Unit 310A2
Johns Creek, GA 30097-4433

Phone

(404) 247-6761

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By 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

Chika Nsoedo

Title

Operating Officer

Phone

(404) 247-6761

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1659146397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD UNIT 310A2",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "404-247-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD UNIT 310A2",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "404-247-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "NSOEDO",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "404-247-6761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Nov 22, 2023; 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.