Organization Active NPI

Chronic Health Management, LLC

  • Durable Medical Equipment & Medical Supplies
  • Kennesaw, GA
National Provider Identifier
1821329343
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT APPLICABLE
Legal business name
CHRONIC HEALTH MANAGEMENT, LLC
Practice address
3745 Cherokee St NW
Suite 102
Kennesaw, GA 30144-6733
Phone
(678) 919-9114
Fax
(888) 344-2122
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Ms. Loretta Daniels, MSCM
Title
Chief Operating Officer
Phone
(678) 919-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NOT APPLICABLE Primary

Addresses

Primary practice location

3745 Cherokee St NW
Suite 102
Kennesaw, GA 30144-6733

Mailing address

P.O. Box 2768
Acworth, GA 30102-9998
Phone (678) 919-9114

Other identifiers 1

IdentifierTypeStateIssuer
547740905AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3745 Cherokee St NW
Ste 102
Kennesaw, GA 30144
Phone (678) 919-9114

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1821329343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2768",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301029998",
            "telephone_number": "678-919-9114",
            "fax_number": "888-344-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 CHEROKEE ST NW",
            "address_2": "SUITE 102",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446733",
            "telephone_number": "678-919-9114",
            "fax_number": "888-344-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "678-919-9114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSCM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547740905A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.