Father Bless My Clinic LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

FATHER BLESS MY CLINIC LLC

Practice address

1300 Ridenour Blvd NW
Kennesaw, GA 30152-4501

Phone

(770) 430-1708

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Dorothy Igbonagwam, DMP

Title

Ceo/ Owner

Phone

(678) 698-8120

Specialties & licenses 1

Addresses

Other names 1

• Father Bless My Clinic (FBMC) LLC Other name

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1881437119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524501",
            "telephone_number": "678-368-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524501",
            "telephone_number": "770-430-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER BLESS MY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "IGBONAGWAM",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "678-698-8120",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Father Bless My Clinic (FBMC) LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Registered Nurse in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.