Southeast Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

067-R-1279 Issued in GA

Legal business name

SOUTHEAST SERVICES, LLC

Doing business as

Choice Care Health Services

Practice address

1983 Lake Shadow Way
Suwanee, GA 30024-4311

Phone

(678) 908-5919

Fax

(770) 822-2337

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By 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

Mr. Salim Kaba

Title

Administrator

Phone

(678) 908-5919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Choice Care Health Services Doing business as

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1912358110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 LAKE SHADOW WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244311",
            "telephone_number": "678-908-5919",
            "fax_number": "770-822-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 LAKE SHADOW WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244311",
            "telephone_number": "678-908-5919",
            "fax_number": "770-822-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "KABA",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-908-5919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171712A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Care Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seo Young Young Son, PHARMD
• Jane So Song, M.ED., CCC-SLP
• Christina Dixon Sorensen, PHARMD
• Amparo Gabriela Soto, OT
• South Atlanta Urology & Gynecology Associates PC
• Southeastern Eye Associates, LLC
• Southeastern Sleep Services, LLC (Southeastern Sleep Services)
• Southern Speech Services
• Idiatou Sow, NP
• Julie Susanne Spayd, PT

• Home Health Agency in Suwanee, GA
• Providers in Suwanee, 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, 2016; 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.