Active NPI
Pack Healthcare
Doing business as Pack Healthcare LLC
- Home Health Agency
- Albany, GA
National Provider Identifier
1710657689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PACK HEALTHCARE
- Doing business as
- Pack Healthcare LLC
- Practice address
- 253 E Oglethorpe Blvd
Albany, GA 31705-2705 - Phone
- (850) 597-1842
- Fax
- (229) 903-8839
- NPI assigned
- Sep 14, 2021
- Last updated
- Sep 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osita Abanah, CEO
- Title
- Owner
- Phone
- (850) 597-1842
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
253 E Oglethorpe Blvd
Albany, GA 31705-2705
Mailing address
253 E Oglethorpe Blvd
Albany, GA 31705-2705
Phone (850) 597-1842
Other names 1
- PACK HEALTHCARE LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tallahassee, FL
- NPI 1104241314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1710657689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 E OGLETHORPE BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317052705",
"telephone_number": "850-597-1842",
"fax_number": "229-903-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 E OGLETHORPE BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317052705",
"telephone_number": "850-597-1842",
"fax_number": "229-903-8839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACK HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A",
"authorized_official_last_name": "ABANAH",
"authorized_official_first_name": "OSITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-597-1842",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PACK HEALTHCARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.