Divinerestorationhelthcare@Yahoo.Com

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINERESTORATIONHELTHCARE@YAHOO.COM

Practice address

7736 Parkside Dr
Lithia Springs, GA 30122-6869

Phone

(678) 314-4383

NPI assigned

Aug 29, 2021

Last updated

Aug 29, 2021By 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

Mr. Okafor Theodore Onyaka

Title

Owner

Phone

(678) 314-4383

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630195200000",
    "number": "1851068696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7736 PARKSIDE DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301226869",
            "telephone_number": "678-314-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 PARKSIDE DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301226869",
            "telephone_number": "678-314-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINERESTORATIONHELTHCARE@YAHOO.COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A",
        "authorized_official_last_name": "ONYAKA",
        "authorized_official_first_name": "OKAFOR",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-314-4383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670280472",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valissa Ann Dixon, LPC
• Dolphin Gold Care Services LLC
• Maria Kriselda Grospe Domingo, MSN,APRN,NP-C
• Douglas County Community Services Board
• Douglas Womens Center PC

• Home Health Agency in Lithia Springs, GA
• Providers in Lithia Springs, 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 Aug 29, 2021; 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.