Samagas House Org

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

SAMAGAS HOUSE ORG

Practice address

1500 Mountain View Cirlcle
Conyers, GA 30014

Phone

(678) 963-4068

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By 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

Tonya P Coley

Title

Owner/Operator

Phone

(678) 963-4068

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1932737046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MOUNTAIN VIEW CIRLCLE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "678-963-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MOUNTAIN VIEW CIRLCLE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "678-963-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAGAS HOUSE ORG",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "678-963-4068"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Lake Home Care, LLC
• Ratna Sajja, MD
• Elva F Sajna, MA
• Salon Lyon , LLC (Salon Lyon)
• Salon Lyon LLC (Salon Lyon Wellness Center)
• Mallikarjun Samala, MD
• Samatra Sa Counseling, Education and Trainings (Samatra Counseling, Education and Trainings)
• Roy Oliver Samuels
• Bethany Sanders, DPT
• Dandrea R Sanders

• Meals Provider in Conyers, GA
• Providers in Conyers, GA by specialty
• Meals Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.