RW Convergence, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

069-R-0680 Issued in GA

Legal business name

RW CONVERGENCE, INC

Practice address

731 Queen City Pkwy Ste 102
Gainesville, GA 30501

Phone

(770) 535-3007

Fax

(770) 533-9007

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. William R. Youngblood

Title

President

Phone

(770) 535-3007

Specialties & licenses 1

Addresses

Other names 1

• Right at Home of Northeast GA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Morrissey

  • Adult Companion
  • Gainesville, GA
  • NPI 1750920138
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1871965327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ALENES DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063746",
            "telephone_number": "770-535-3007",
            "fax_number": "770-533-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 QUEEN CITY PKWY STE 102",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-535-3007",
            "fax_number": "770-533-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW CONVERGENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-535-3007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "069-R-0680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home of Northeast GA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right at Home of Northeast GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Runyan, M.D.
• Christa Lee Rush, PA-C
• Robert Tucker Rush, PT, DPT
• Melanie Annabel Rushing
• Madeline Ruzicka
• Rxgenius LLC
• Edward Davis Ryan, PT
• Alexis Gale Rylee, CNM, FNP
• Erika Rylee, PHARM.D.
• Kayla D. Rylee, AGACNP

• In Home Supportive Care Agency in Gainesville, GA
• Providers in Gainesville, 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 Jul 13, 2018; 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.