NPIMap

Organization Active NPI

Eshcol Healthcare Agency LLC

  • Nurse's Aide
  • Lawrenceville, GA
National Provider Identifier
1932772423
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
ESHCOL HEALTHCARE AGENCY LLC
Practice address
1169 Leybourne CV
Lawrenceville, GA 30045-3573
Phone
(470) 419-1040
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Anthonia Bada
Title
President
Phone
(470) 419-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

1169 Leybourne CV
Lawrenceville, GA 30045-3573

Mailing address

1169 Leybourne CV
Lawrenceville, GA 30045-3573
Phone (470) 419-1040

National Provider Directory

National Provider Directory
Tax ID family
Eshcol Healthcare Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1932772423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 LEYBOURNE CV",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453573",
            "telephone_number": "470-419-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 LEYBOURNE CV",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453573",
            "telephone_number": "470-419-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESHCOL HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "BADA",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-419-1040"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.