Central Georgia Home Care Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL GEORGIA HOME CARE SERVICES, INC.

Doing business as

The Company Store

Practice address

740 Hemlock Street
Suite B
Macon, GA 31201-7535

Phone

(478) 633-6250

Fax

(478) 633-1409

NPI assigned

Jul 13, 2006

Last updated

Aug 22, 2020By 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

Mr. Joseph D Lavelle

Title

Ceo

Phone

(478) 633-1452

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE COMPANY STORE Doing business as

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821014101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HEMLOCK STREET",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017535",
            "telephone_number": "478-633-6250",
            "fax_number": "478-633-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HEMLOCK STREET",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017535",
            "telephone_number": "478-633-6250",
            "fax_number": "478-633-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-633-1452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00826075B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COMPANY STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Georgia Homecare Services, Inc (The Company Store)
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• Central Georgia Internal Medicine, LLC
• Central Georgia Internist
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• 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 Aug 22, 2020; 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.