Peach Retreat Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACH RETREAT HOME CARE

Practice address

3260 Lambtown Rd
Vienna, GA 31092-7102

Phone

(229) 521-1051

NPI assigned

Feb 3, 2022

Last updated

Oct 11, 2023By 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

Mrs. Laboccia Ogunlewe, RN

Title

Ceo

Phone

(727) 483-3477

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1831842368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 LAMBTOWN RD",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927102",
            "telephone_number": "229-521-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 LAMBTOWN RD",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927102",
            "telephone_number": "229-521-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH RETREAT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "OGUNLEWE",
        "authorized_official_first_name": "LABOCCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-483-3477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Vienna, GA
• Providers in Vienna, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.