CKCG HEALTHCARE SERVICES,INC (NPI# 1083796106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796106 |
| Entity Type | Organization |
| Organization Name | CKCG HEALTHCARE SERVICES,INC |
| Practice Address |
5995 Oakbrook Pkwy Suite -b Norcross GA 30093 |
| Practice Telephone | 7702099998 |
| Practice Fax Number | 7707299861 |
| Mailing Telephone | 7702099998 |
| Mailing Fax Number | 7707299861 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | MR. SAMUEL OKWUDILI OBUROTA (ADMINISTRATOR) |
| Authorized Official Telephone | 7702099998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
060-R-0111 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 485426892A | 05 | |
| GA | 485426892B | 05 |
| Street Address |
5995 OAKBROOK PKWY SUITE -B |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942553706 | Daniel Ikpechukwu | Counselor | 5995 Oakbrook Pkwy, Norcross, GA 30093-1703 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558545665 | Regina Nateya Cooks | Skilled Nursing Facility | 4940 Peachtree Industrial Blvd, 310, Norcross, GA 30071-1599 | 2007-12-26 |
| 1710280268 | Pediatria Healthcare for Kids | Skilled Nursing Facility | 5185 Peachtree Pkwy, Suite 350, Norcross, GA 30092-6542 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731484 | Shaydrea L Chapman | Skilled Nursing Facility | 337 Martin Dr, Jonesboro, GA 30238-5764 | 2018-08-28 |
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1306399936 | Dickson Osanu | Skilled Nursing Facility | 4405 Mall Blvd Ste 315, Union City, GA 30291-2070 | 2016-08-01 |
| 1053732842 | Mercy's Quality Home Care, LLC300562457 | Skilled Nursing Facility | 120 Northberry St., Suite 101, Stockbridge, GA 30281-1093 | 2013-12-20 |
| 1568802239 | Elite Care Angels Inc | Skilled Nursing Facility | 571 Pennylake Ln, Stone Mountain, GA 30087-5769 | 2013-06-26 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1235379405 | Dc Enterprise | Skilled Nursing Facility | 285 Wild Iris Ln, Clarkesville, GA 30523-1849 | 2009-03-02 |
| 1396900247 | Childrens Healthcare of Atlanta | Skilled Nursing Facility | 494 Rising Sun Path, Lawrenceville, GA 30043-3169 | 2008-07-21 |
| 1003845967 | The Nathaniel Watson, Jr. Memorial Foundation, Inc | Skilled Nursing Facility | 506 Calgary Glen Drive Sw, Austell, GA 30168-7284 | 2006-07-02 |
| 1295342731 | Evelyn Anita Anderson | Skilled Nursing Facility | 202 Charlie Fuller Rd, Grantville, GA 30220-2801 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| 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.