Bennett PCH

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

000778 Issued in GA

Legal business name

BENNETT PCH

Doing business as

S & S PCH

Practice address

1877 Singer Way
Lithonia, GA 30058

Phone

(678) 791-5165

Fax

(678) 395-3902

NPI assigned

Oct 4, 2011

Last updated

Oct 4, 2011By 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

Michelle A Bennett, ETC

Title

Director

Phone

(678) 791-5165

Specialties & licenses 1

Addresses

Other names 1

• S & S PCH Doing business as

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1689958076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 SINGER WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "678-791-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 SINGER WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "678-791-5165",
            "fax_number": "678-395-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-791-5165",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "000778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S PCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tijuana Bellamy, M.A., M.B.A.
• Ebony Bello, PTA
• Benadel Care and Consulting
• Larry Bennett II, DPT
• Nzinga Benton, LPC, NCC
• Elizabeth Anne Berlin, P.A.
• Beth a Harper Rodriguez
• Iman Bhayani

• Home Health Agency in Lithonia, GA
• Providers in Lithonia, 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 Oct 4, 2011; 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.