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EPIPHANY HEALTHCARE SYSTEM INC NPI 1124202973


NPI Information

NPI: 1124202973
Provider Name: EPIPHANY HEALTHCARE SYSTEM, INC

Doing Business As: ACCESSIBLE HEALTH CARE OF SOUTH ATLANTA

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1015 TYRONE RD STE 110
TYRONE, GA
ZIP 30290
Phone: (770) 306-3416
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EPIPHANY HEALTHCARE SYSTEM, INC is a home health in Tyrone, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. EPIPHANY HEALTHCARE SYSTEM, INC NPI is 1124202973. The provider is registered as an organization entity type.
The provider Is Doing Business As Accessible Health Care Of South Atlanta.

The provider's business location address is:

1015 TYRONE RD STE 110
TYRONE, GA
ZIP 30290-407
Phone: (770) 306-3416
Fax: (770) 306-3417

The provider's authorized official is Dickson Osanu .
The authorized official title is Administrator and has the following contact phone number (770) 306-3416.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 8/20/2018.


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
1251S00000XCommunity/Behavioral HealthNo
2251E00000XHome Health060-R-0322GEORGIAYes

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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