Social Services Outreach Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HO14-00274 Issued in GA

Legal business name

SOCIAL SERVICES OUTREACH INC

Practice address

10205 Saint James Dr
Conyers, GA 30094-1202

Phone

(678) 524-1152

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By 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

Mrs. Gloria Jean Gates, NONE

Title

Owner/Director

Phone

(678) 524-1152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1801296728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 SAINT JAMES DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300941202",
            "telephone_number": "678-524-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 SAINT JAMES DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300941202",
            "telephone_number": "678-524-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SERVICES OUTREACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "678-524-1152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "HO14-00274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.