Williemae Okwandu, OWNER/ADMINISTRATOR

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

075-R-0740 Issued in GA

Practice address

818 Black Diamond Dr
McDonough, GA 30253-8822

Phone

(770) 474-4207

Fax

(770) 474-4898

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Williemae Okwandu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1861703449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BLACK DIAMOND DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538822",
            "telephone_number": "770-474-4207",
            "fax_number": "770-474-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 BLACK DIAMOND DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538822",
            "telephone_number": "770-474-4207",
            "fax_number": "770-474-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWANDU",
        "first_name": "WILLIEMAE",
        "name_prefix": "Mrs.",
        "credential": "OWNER/ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "075-R-0740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIEMAE",
            "last_name": "OKWANDU",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Home Health Agency in McDonough, GA
• Providers in McDonough, 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 Jun 29, 2010; 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.