Medtex LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MEDTEX LLC

Practice address

3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353

Phone

(404) 954-0856

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By 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

Giancarlo Erick Fornasini

Title

Owner

Phone

(404) 954-0856

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1790507887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261353",
            "telephone_number": "404-954-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261353",
            "telephone_number": "404-954-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "FORNASINI",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-954-0856"
    },
    "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 Atlanta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.