Organization Active NPI

Samuels Health Services,LLC

  • Speech-Language Assistant
  • Stone Mountain, GA
National Provider Identifier
1780969758
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Legal business name
SAMUELS HEALTH SERVICES,LLC
Practice address
778 Rays Rd
Suite107
Stone Mountain, GA 30083-3107
Phone
(404) 228-0574
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Mr. Desmond Samuels
Title
Owner/Manager
Phone
(404) 228-0574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X Primary

Addresses

Primary practice location

778 Rays Rd
Suite107
Stone Mountain, GA 30083-3107

Mailing address

778 Rays Rd
Suite 107
Stone Mountain, GA 30083-3107
Phone (404) 228-0574

National Provider Directory

National Provider Directory

Locations

778 Rays Rd
Ste 107
Stone Mtn, GA 30083
Phone (404) 228-0574

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1780969758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE 107",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-228-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE107",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-228-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "404-228-0574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.