Power Wheelchair Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

031-R-1294 Issued in GA

Legal business name

POWER WHEELCHAIR SERVICES

Doing business as

Heavenly Companion Care

Practice address

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Phone

(404) 484-2024

Fax

(883) 888-8825

NPI assigned

Sep 27, 2015

Last updated

Mar 31, 2020By 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

Omoye Tracy Orobor, BPA, MHA/GER

Title

Director

Phone

(404) 484-2024

Specialties & licenses 1

Addresses

Other names 1

• HEAVENLY COMPANION CARE Doing business as

Locations

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1700256237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "404-484-2024",
            "fax_number": "888-388-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "404-484-2024",
            "fax_number": "883-888-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER WHEELCHAIR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "OROBOR",
        "authorized_official_first_name": "OMOYE",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-484-2024",
        "authorized_official_credential": "BPA, MHA/GER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "031-R-1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY COMPANION CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEAVENLY COMPANION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fayetteville, GA
• Providers in Fayetteville, 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 Mar 31, 2020; 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.