GRACE OGHALE OSIEZAGHA (NPI# 1053894618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053894618 |
| Entity Type | Individual |
| Full Name | GRACE OGHALE OSIEZAGHA |
| Other Name | GRACE OGHALE GORDON |
| Practice Address |
5549 Mccrossin Cir Lithonia GA 30038-4801 |
| Practice Telephone | 4049175112 |
| Practice Fax Number | 7703237512 |
| Mailing Telephone | 4049175112 |
| Mailing Fax Number | 7703237512 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | GA | Agencies | |
| N | 172V00000X | Community Health Worker | GA | Other Service Providers | |
| N | 251S00000X | Community/Behavioral Health | GA | Agencies | |
| N | 174H00000X | Health Educator | GA | Other Service Providers | |
| N | 106S00000X | Behavior Technician | GA | Behavioral Health & Social Service Providers | |
| N | 175T00000X | Peer Specialist | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CNA | CN0028834263 | 01 |
| GA | NASW | 886674697 | 01 |
| GA | HEALTH EDUCATION | 1066260 | 01 |
| GA | BFTS | 263534 | 01 |
| Street Address |
5549 MCCROSSIN CIR |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099436 | Messenger of Comfort Home Care LLC | Home Health | 3700 Eagles Beek Cir, Lithonia, GA 30038-3549 | 2020-09-28 |
| 1972125532 | Dionne Newell | Home Health | 1383 Kala Dr, Lithonia, GA 30058-3248 | 2020-05-17 |
| 1356962427 | Integrity Health and Technology Services, LLC | Home Health | 2978 Parc Lorraine, Lithonia, GA 30038-1913 | 2020-04-30 |
| 1639703580 | 2 Helping Hands Home Care Services, LLC | Home Health | 5872 Crescent Ridge Ct, Lithonia, GA 30058-8366 | 2020-03-01 |
| 1992353650 | Evans Home Care Services LLC | Home Health | 7495 Covington Hwy, Lithonia, GA 30058-7664 | 2019-08-27 |
| 1508411919 | Benadel Care and Consulting | Home Health | 2341 Cherokee Valley Cir, Lithonia, GA 30058-5383 | 2019-08-03 |
| 1023598034 | Shawanda Lumpkins | Home Health | 5388 Winding Glen Dr # Fr, Lithonia, GA 30038-2396 | 2018-08-19 |
| 1346754017 | Diamond's Healthcare Staffing LLC | Home Health | 17106 Turnberry Pl, Lithonia, GA 30038-6117 | 2017-11-16 |
| 1710406988 | Ameta Lasha Wright | Home Health | 5878 Valley Green Rd, Lithonia, GA 30058-3165 | 2017-09-19 |
| 1629595632 | Truecare Home Care Services, LLC | Home Health | 4977 Lynnonhall Ct, Lithonia, GA 30038-4327 | 2017-08-29 |
| Find all providers in LITHONIA | ||||
Please comment or provide details below to improve the information on GRACE OGHALE OSIEZAGHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.