Blessed Gardenz LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

BLESSED GARDENZ LLC

Practice address

1161 Hacknee CT
Lawrenceville, GA 30044-2771

Phone

(678) 373-3900

Fax

(678) 373-3900

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Yaba Philomene-B Awuah

Title

Director

Phone

(404) 547-5385

Specialties & licenses 1

Addresses

Other names 1

• BLESSED GARDENZ LLC Former legal business name

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1679137152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 HACKNEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442771",
            "telephone_number": "678-373-3900",
            "fax_number": "678-373-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 HACKNEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442771",
            "telephone_number": "678-373-3900",
            "fax_number": "678-373-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED GARDENZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "AWUAH",
        "authorized_official_first_name": "YABA",
        "authorized_official_middle_name": "PHILOMENE-B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-547-5385"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLESSED GARDENZ LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Health Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.