CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION NPI 1013955194

NPI Information

NPI: 1013955194
Provider Name: CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
303 PERIMETER CTR N
SUITE 510
ATLANTA, GA
ZIP 30346
Phone: (770) 379-1035
Get Directions

CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION is a parenteral and enteral nutrition durable medical equipment medical supplies in Atlanta, GA. CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION NPI is 1013955194. The provider is registered as an organization entity type.

The provider's business location address is:

303 PERIMETER CTR N
SUITE 510
ATLANTA, GA
ZIP 30346-402
Phone: (770) 379-1035
Fax: (770) 234-5172

The provider's authorized official is Nancy Nurnberg .
The authorized official title is Director and has the following contact phone number (770) 379-1035.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 3/25/2010.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	113146	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5603429	MEDICAID	MONTANA
2	7701861	MEDICAID	NORTH CAROLINA
3	0882540001	MEDICARE NSC
4	T4208	MEDICAID	NEW MEXICO
5	076048001	MEDICAID	TEXAS
6	1960161	MEDICAID	LOUISIANA
7	200124240A	MEDICAID	INDIANA
8	90274069	MEDICAID	KENTUCKY
9	972405883A	MEDICAID	GEORGIA
10	=========00	MEDICAID	NEBRASKA
11	134440716	MEDICAID	ARKANSAS
12	002106200	MEDICAID	IDAHO
13	032746100	MEDICAID	DISTRICT OF COLUMBIA
14	3563038	MEDICAID	TENNESSEE
15	00440076	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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