Organization Active NPI

Calle Vinas, Inc.

  • Nurse's Aide
  • Warner Robins, GA
National Provider Identifier
1982723201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
CALLE VINAS, INC.
Practice address
312 N Davis Dr
Warner Robins, GA 31093-3350
Phone
(478) 923-8508
Fax
(888) 278-9704
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret Selph
Title
Administrator
Phone
(478) 923-8508

Specialties & licenses 1

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

Addresses

Primary practice location

312 N Davis Dr
Warner Robins, GA 31093-3350

Mailing address

312 N Davis Dr
Warner Robins, GA 31093-3350
Phone (478) 923-8508

Other identifiers 1

IdentifierTypeStateIssuer
00887224AMedicaidGA

National Provider Directory

National Provider Directory

Locations

312 N Davis Dr
Warner Robins, GA 31093
Phone (478) 334-2210

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982723201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N DAVIS DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933350",
            "telephone_number": "478-923-8508",
            "fax_number": "888-278-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N DAVIS DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933350",
            "telephone_number": "478-923-8508",
            "fax_number": "888-278-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLE VINAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELPH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-923-8508"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00887224A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.