Rogenia'S PHC Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROGENIA'S PHC SERVICES LLC

Practice address

215 Beam Dr
Conyers, GA 30013-5243

Phone

(470) 295-4635

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Rogenia Shantell Griffin

Title

Administrator

Phone

(470) 295-4635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1780185504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BEAM DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135243",
            "telephone_number": "470-295-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BEAM DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135243",
            "telephone_number": "470-295-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGENIA'S PHC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ROGENIA",
        "authorized_official_middle_name": "SHANTELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-295-4635"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "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 Jan 21, 2025; 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.