Atenda of Georgia Inc

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

ATENDA OF GEORGIA INC

Practice address

15712 SW 41St St
Suite 16
Davie, FL 33331

Phone

(954) 217-6055

Fax

(954) 734-2209

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By 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

Ms. Doris J Mazal

Title

Director of Finance

Phone

(954) 217-6055

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1912158155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITE 16",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-217-6055",
            "fax_number": "954-734-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITE 16",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-217-6055",
            "fax_number": "954-734-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENDA OF GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MAZAL",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "954-217-6055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Mode Atilus
• Atlantic Coast Medical Services, Inc.

• Home Infusion Agency in Davie, FL
• Providers in Davie, FL by specialty
• Home Infusion Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.