Epiphany Healthcare System, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EPIPHANY HEALTHCARE SYSTEM, INC

Practice address

906 C M Fagan Dr BLDG a
Suite 6a
Hammond, LA 70403

Phone

(985) 956-7370

Fax

(985) 956-7371

NPI assigned

Aug 23, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EPIPHANY HEALTHCARE SYSTEM, INCAs reported in NPPES

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

Authorized official

Name

Mr. Dickson Osanu

Title

Ceo

Phone

(404) 226-9131

Specialties & licenses 7

Addresses

Tax ID family

Epiphany Healthcare System Inc3 organizations share this tax ID, including this one

Part of

Epiphany Healthcare System Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Epiphany Healthcare System, Inc

  dba Accessible Health Care of South Atlanta

  • Home Health Agency
  • Tyrone, GA
  • NPI 1124202973
  NPD tax ID
• Epiphany Healthcare Systems, Inc

  dba Accessible Healthcare of South Atlanta

  • Mental Health Counselor
  • Union City, GA
  • NPI 1578013751
  NPD tax ID

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1730660176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR BLDG A",
            "address_2": "SUITE 6A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036056",
            "telephone_number": "985-956-7370",
            "fax_number": "985-956-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR BLDG A",
            "address_2": "SUITE 6A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-956-7370",
            "fax_number": "985-956-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIPHANY HEALTHCARE SYSTEM, INC",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "OSANU",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-226-9131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Enk, RN
• Katelyn D Ennis
• Josette Ephemere, M.ED., LPC
• Epiphany Healthcare of Hammond (Back 2 Health Walk-In Clinic)
• Epiphany Healthcare of Hammond
• Megan Eppes, PHARMD
• Jazmin Escalante, FNP
• Morgan Esneault
• Ashley Estalote
• Amanda Herrick Estapa, ACNP

• Mental Health Counselor in Hammond, LA
• Providers in Hammond, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.