Immaculate Healthcare Solutions, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMMACULATE HEALTHCARE SOLUTIONS, LLC

Practice address

970 Peachtree Industrial Blvd Ste 8
Suwanee, GA 30024

Phone

(404) 944-9516

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Ijeh

Title

Owner

Phone

(404) 944-9516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1740778463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PEACHTREE INDUSTRIAL BLVD STE 8",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246988",
            "telephone_number": "678-707-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PEACHTREE INDUSTRIAL BLVD STE 8",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "404-944-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Ashbourne Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300432352",
            "country_code": "US",
            "telephone_number": "678-707-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMMACULATE HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "IJEH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-944-9516"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.