Organization Active NPI

First Trinity Homecareservices Inc.

  • Nursing Care Agency
  • Buford, GA
National Provider Identifier
1780943910
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
067R0704 Issued in GA
Legal business name
FIRST TRINITY HOMECARESERVICES INC.
Practice address
3965 Bradford Walk TRL
Buford, GA 30519-7840
Phone
(770) 831-0013
Fax
(770) 831-0122
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Emeka Justin Otiwu, BBA
Title
Administrator
Phone
(770) 355-4114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 067R0704 GA
Nursing Care Agency 251J00000X 067R0704 GA Primary

Addresses

Primary practice location

3965 Bradford Walk TRL
Buford, GA 30519-7840

Mailing address

3965 Bradford Walk TRL
Buford, GA 30519-7840
Phone (770) 831-0013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1780943910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 BRADFORD WALK TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197840",
            "telephone_number": "770-831-0013",
            "fax_number": "770-831-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 BRADFORD WALK TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197840",
            "telephone_number": "770-831-0013",
            "fax_number": "770-831-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST TRINITY HOMECARESERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "OTIWU",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-355-4114",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067R0704",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "067R0704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.