Restorative Custom Healthcare Services Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

RESTORATIVE CUSTOM HEALTHCARE SERVICES INC

Practice address

2808 Lost Lakes Way
Powder Springs, GA 30127-6031

Phone

(210) 639-8092

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By 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

Leslie Patrick, RNNPI 1760195515

Title

Owner

Phone

(210) 639-8191

Specialties & licenses 1

Addresses

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.

• Leslie Patrick

  • Nursing Care Agency
  • Powder Springs, GA
  • NPI 1760195515
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1790490977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 LOST LAKES WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276031",
            "telephone_number": "210-639-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 LOST LAKES WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276031",
            "telephone_number": "210-639-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE CUSTOM HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-639-8191",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.