Organization Active NPI

Lahora Limited Liability Company

  • Intellectual Disabilities Intermediate Care Facility
  • Riverdale, GA
National Provider Identifier
1871277947
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LAHORA LIMITED LIABILITY COMPANY
Practice address
297 Wood Sage Dr
Riverdale, GA 30274-1869
Phone
(678) 516-1702
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Okikiola Oluwabunmi Ogunbunmi
Title
Ceo
Phone
(678) 516-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

297 Wood Sage Dr
Riverdale, GA 30274-1869

Mailing address

297 Wood Sage Dr
Riverdale, GA 30274-1869
Phone (678) 516-1702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1871277947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WOOD SAGE DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741869",
            "telephone_number": "678-516-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WOOD SAGE DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741869",
            "telephone_number": "678-516-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHORA LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "OGUNBUNMI",
        "authorized_official_first_name": "OKIKIOLA",
        "authorized_official_middle_name": "OLUWABUNMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-516-1702"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.