Dr.Bostic Private Home Care

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DR.BOSTIC PRIVATE HOME CARE

Practice address

7670 Creekside LN
Riverdale, GA 30296-1173

Phone

(863) 777-3846

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Octavia BosticNPI 1255973251

Title

Administration

Phone

(863) 777-3846

Specialties & licenses 1

Addresses

Other names 1

• Home Care Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Octavia Bostic

  • Nurse's Aide
  • Riverdale, GA
  • NPI 1255973251
  NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1801438288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741888",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741334",
            "telephone_number": "863-777-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 CREEKSIDE LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961173",
            "telephone_number": "863-777-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BOSTIC PRIVATE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "863-777-3846"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fredrico Albert Dixon III, DDS
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• DME Supply Inc
• Dourron Women'S Specialist
• Dr Nimish Patel PC
• Ginger Drake, NNP
• Anastasiya A Drogoul, NP
• Dubois Integrity Academy
• Sushma Duddugunta, MD
• Lynn P Dunaway, PAAA

• Home Health Aide in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.