Reaves Home Care Services

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

CN0014197375 Issued in GA

Legal business name

REAVES HOME CARE SERVICES

Practice address

2502 Trees of Kennesaw Pkwy NW
Kennesaw, GA 30152-8220

Phone

(267) 303-3999

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry S Reaves, HOME HEALTH CARE

Title

Cna

Phone

(267) 303-3999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1770996001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 TREES OF KENNESAW PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528220",
            "telephone_number": "267-303-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 TREES OF KENNESAW PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528220",
            "telephone_number": "267-303-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAVES HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "267-303-3999",
        "authorized_official_credential": "HOME HEALTH CARE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "CN0014197375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSES AIDE",
            "identifier": "CN0014197375",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.