Organization Active NPI

Southeast Healthcare LLC

  • Home Health Agency
  • Marietta, GA
National Provider Identifier
1821115650
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHEAST HEALTHCARE LLC
Practice address
2759 Delk Rd SE Ste 2135
Marietta, GA 30067-8860
Phone
(770) 439-8990
NPI assigned
Mar 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Joy I Ubani, NURSE
Title
Administrator
Phone
(770) 439-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

2759 Delk Rd SE Ste 2135
Marietta, GA 30067-8860

Mailing address

PO Box 1304
Powder Springs, GA 30127-7304
Phone (770) 439-8990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1821115650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1304",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277304",
            "telephone_number": "770-439-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE STE 2135",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678860",
            "telephone_number": "770-439-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "UBANI",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-439-8990",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.