OCTAVIA HOUSE LLC NPI 1225372998

NPI Information

NPI: 1225372998
Provider Name: OCTAVIA HOUSE, LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
105 GENEVIEVE CT
FAYETTEVILLE, GA
ZIP 30215
Phone: (404) 429-1752
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OCTAVIA HOUSE, LLC is a respite care in Fayetteville, GA. OCTAVIA HOUSE, LLC NPI is 1225372998. The provider is registered as an organization entity type.

The provider's business location address is:

105 GENEVIEVE CT
FAYETTEVILLE, GA
ZIP 30215-803
Phone: (404) 429-1752

The provider's authorized official is Nadine A Phillips .
The authorized official title is Director and has the following contact phone number (404) 429-1752.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.

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
1	385H00000X	Respite Care				Yes

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

NPI Synchronization or Removal

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