Giavonnis

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

70915 Issued in NC

Legal business name

GIAVONNIS

Practice address

1095 Union Branch Rd
Corapeake, NC 27926-9629

Phone

(315) 412-4900

NPI assigned

Apr 30, 2012

Last updated

Apr 30, 2012By 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

Miss Rondeshya K Cosby, LPN

Title

Owner

Phone

(315) 412-4900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1942568753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LOUISE ST",
            "city": "GATES",
            "state": "NC",
            "postal_code": "27937",
            "telephone_number": "315-412-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 UNION BRANCH RD",
            "city": "CORAPEAKE",
            "state": "NC",
            "postal_code": "279269629",
            "telephone_number": "315-412-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIAVONNIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "RONDESHYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-412-4900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "70915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Corapeake, NC
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• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.