Nine Sky LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

068505679A Issued in GA

Legal business name

NINE SKY LLC

Practice address

6000 Live Oak Pkwy
Norcross, GA 30093-1732

Phone

(770) 447-4898

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Daejin Ko

Title

Managing Member

Phone

(770) 447-4898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hangbok adult Day Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1962813162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LIVE OAK PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931732",
            "telephone_number": "770-447-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LIVE OAK PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931732",
            "telephone_number": "770-447-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE SKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "DAEJIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-447-4898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "068505679A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068505679A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hangbok adult Day Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuan Minh Quoc Nguyen, M.D.
• Nia Nicholls, RBT
• Hannah Nichols
• Moses Nicol
• William Henry Nied, DC
• Joelle Noel
• Jessica Joy Noggle Taylor, PHD, APRN, NP-C
• Norcross Chiropractic & Physical Rehab, LLC
• Norcross Dental Associates
• Norcross Dental Center

• Respite Care in Norcross, GA
• Providers in Norcross, GA by specialty
• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.