Marvest Private Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

067-R-1110 Issued in GA

Legal business name

MARVEST PRIVATE HOME CARE, INC.

Practice address

3951 Mountain Way CV
Snellville, GA 30039-8434

Phone

(404) 710-4502

Fax

(770) 736-5039

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Sylvester Egbochue

Title

Owner

Phone

(404) 710-4502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1841701000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 MOUNTAIN WAY CV",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398434",
            "telephone_number": "404-710-4502",
            "fax_number": "770-736-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 MOUNTAIN WAY CV",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398434",
            "telephone_number": "404-710-4502",
            "fax_number": "770-736-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEST PRIVATE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "EGBOCHUE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-710-4502"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067-R-1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna R Martin
• Elise Danielle Martin, MD
• Jessica Martin, RBT
• Tiana Marie Martin
• Nancy Guadalupe Martinez
• Tisha Massey, RBT
• Anu Koshy Mathew
• Celine Mathew, D.O.
• Geo Mary Mathew
• Justin Thomas Mathew, PT, DPT

• In Home Supportive Care Agency in Snellville, GA
• Providers in Snellville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.