Organization Active NPI

Fareth Healthcare Services Inc

  • Home Health Agency
  • Douglasville, GA
National Provider Identifier
1821338518
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
048-R-0964 Issued in GA
Legal business name
FARETH HEALTHCARE SERVICES INC
Practice address
3650 Long Lake Dr
Douglasville, GA 30135-7652
Phone
(770) 485-3166
Fax
(770) 485-3240
NPI assigned
Feb 18, 2013
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Temilade Oyekunle, LPN
Title
Administrator
Phone
(770) 485-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 048-R-0964 GA Primary

Addresses

Primary practice location

3650 Long Lake Dr
Douglasville, GA 30135-7652

Mailing address

PO Box 1071
Douglasville, GA 30133-1071
Phone (770) 485-3166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1821338518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301331071",
            "telephone_number": "770-485-3166",
            "fax_number": "770-485-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LONG LAKE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357652",
            "telephone_number": "770-485-3166",
            "fax_number": "770-485-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARETH HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "OYEKUNLE",
        "authorized_official_first_name": "TEMILADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-485-3166",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "048-R-0964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.