Mabelton Enterprise

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MABELTON ENTERPRISE

Doing business as

Mableton Dialysis

Practice address

1338 Veterans Memorial Hwy SW
Mableton, GA 30126-3112

Phone

(850) 728-2624

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Olufunmilayo AdejokunNPI 1023344553

Title

Ceo

Phone

(850) 728-2624

Specialties & licenses 1

Addresses

Other names 1

• Mableton Dialysis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olufunmilayo Adejokun

  • Renal Dialysis Technician
  • Mableton, GA
  • NPI 1023344553
  NPD (past) Authorized official

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1740514959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ANASTASIA DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261461",
            "telephone_number": "850-728-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 VETERANS MEMORIAL HWY SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263112",
            "telephone_number": "850-728-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABELTON ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "ADEJOKUN",
        "authorized_official_first_name": "OLUFUNMILAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-728-2624",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mableton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lovingu Personal Care LLC
• Luxgo LLC
• Luxottica of America Inc
• Silvia Ann Lynch, LCSW, LCADC
• Lynnica Healthcare Staffing, LLC
• Mableton Dental Inc
• Mableton Medical Enterprises Corp
• Mac Healthcare Services LLC
• Marcus Samuel Maddox, SLP
• Danielle Madlock, APRN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mableton, GA
• Providers in Mableton, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.