Concoh Health Care

LBN: Concoh Health Care
Concoh Health Care is an health care organization with primary practice located at 5883 Heritage Ln , Stone Mountain GA 30087-1848. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Concoh Health Care can be contacted via phone (770) 875-2759, or through Eto, Nneka Pat via phone (770) 875-2759.

Contact Information

Primary practice address
5883 Heritage Ln Stone Mountain GA 30087-1848
Phone: (770) 875-2759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eto, Nneka Pat
Phone: (770) 875-2759

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 044-R-0676 Georgia

Profile Details

NPI number 1447662432
LBN Legal business name Concoh Health Care
DBA Doing business as
Authorized official Eto, Nneka Pat
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2014
Last updated May 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447662432 NPPES
Georgia MEDICAID 003131517A

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