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CKCG HEALTHCARE SERVICESINC NPI 1083796106


NPI Information

NPI: 1083796106
Provider Name: CKCG HEALTHCARE SERVICES,INC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
5995 OAKBROOK PKWY
SUITE -B
NORCROSS, GA
ZIP 30093
Phone: (770) 209-9998
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CKCG HEALTHCARE SERVICES,INC is a nursing care and pediatric skilled nursing facility in Norcross, GA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. CKCG HEALTHCARE SERVICES,INC NPI is 1083796106. The provider is registered as an organization entity type.

The provider's business location address is:

5995 OAKBROOK PKWY
SUITE -B
NORCROSS, GA
ZIP 30093
Phone: (770) 209-9998
Fax: (770) 729-9861

The provider's authorized official is Samuel Okwudili Oburota .
The authorized official title is Administrator and has the following contact phone number (770) 209-9998.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric060-R-0111GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15830780001MEDICARE ID-TYPE UNSPECIFIEDGEORGIADURABLE MEDICAL EQUIPMENT
2485426892AMEDICAIDGEORGIA
3485426892BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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