Justin Health Systems, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

025-R-0956 Issued in GA

Legal business name

JUSTIN HEALTH SYSTEMS, INC

Practice address

5859 Abercorn St
BLDG 2, Unit 5
Savannah, GA 31405-5500

Phone

(912) 349-6441

Fax

(912) 349-6482

NPI assigned

Sep 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anselm Ugonna

Title

Agency Administrator

Phone

(912) 349-6441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1659707206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 ABERCORN ST",
            "address_2": "BLDG 2, UNIT 5",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 ABERCORN ST",
            "address_2": "BLDG 2, UNIT 5",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055500",
            "telephone_number": "912-349-6441",
            "fax_number": "912-349-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-15",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "UGONNA",
        "authorized_official_first_name": "ANSELM",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "912-349-6441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "025-R-0956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132157A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.