Central Georgia Homecare Services, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20012623968 Issued in GA

Legal business name

CENTRAL GEORGIA HOMECARE SERVICES, INC

Doing business as

The Company Store

Practice address

800 1St Street
Ste 100
Macon, GA 31201-8395

Phone

(478) 633-5700

Fax

(478) 784-3574

NPI assigned

Jul 13, 2006

Last updated

May 14, 2015By 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

Rhonda S Perry

Title

Evp-Cfo

Phone

(478) 633-1452

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• The Company Store Doing business as

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1811912249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST STREET",
            "address_2": "STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018395",
            "telephone_number": "478-633-5700",
            "fax_number": "478-784-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST STREET",
            "address_2": "STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018395",
            "telephone_number": "478-633-5700",
            "fax_number": "478-784-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA HOMECARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EVP-CFO",
        "authorized_official_telephone_number": "478-633-1452"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20012623968",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHRE 008012",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE 008012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826042B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826075A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826075B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Company Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Georgia Home Care Services, Inc. (The Company Store)
• Central Georgia Infectious Diseases Associates, LLC
• Central Georgia Internal Medicine, LLC
• Central Georgia Internist
• Central Georgia Kidney Specialists, PC
• Central Georgia MRI LLC

• Durable Medical Equipment & Medical Supplies in Macon, GA
• Providers in Macon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.