Organization Active NPI

Vemandal Nursing Services Inc.

  • Nursing Care Agency
  • Douglasville, GA
National Provider Identifier
1760533541
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
048-R-0024 Issued in GA
Legal business name
VEMANDAL NURSING SERVICES INC.
Practice address
34Oo Chapel Hill Road
Suite 307
Douglasville, GA 30135
Phone
(770) 577-7327
Fax
(770) 577-6573
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Mrs. Patience Ayuk Mayo, NP-C, FNP-BCNPI 1538710702
Title
Administrator
Phone
(770) 577-7327

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 048-R-0024 GA Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

34Oo Chapel Hill Road
Suite 307
Douglasville, GA 30135

Mailing address

PO Box 1563
Douglasville, GA 30133-1563
Phone (770) 577-7327

Other practice location 1

3200 Martha Ct
Douglasville, GA 30135-8145
Phone (770) 577-7327

Other identifiers 2

IdentifierTypeStateIssuer
040968984BMedicaidGA
040968984CMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vemandal@att.net Direct

National Provider Directory

National Provider Directory

Locations

3400 Chapel Hill Rd
Ste 307
Douglasville, GA 30135
Phone (770) 577-7327

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1760533541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1563",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301331563",
            "telephone_number": "770-577-7327",
            "fax_number": "770-577-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34OO CHAPEL HILL ROAD",
            "address_2": "SUITE 307",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-577-7327",
            "fax_number": "770-577-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Martha Ct",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301358145",
            "country_code": "US",
            "telephone_number": "770-577-7327",
            "fax_number": "770-577-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEMANDAL NURSING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "AYUK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-577-7327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "048-R-0024",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040968984B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040968984C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vemandal@att.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3400 Chapel Hill Rd Ste 307",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301351739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

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