HIAWATHA PRIVATE HEALTHCARE SERVICE LLC NPI 1285390716

NPI Information

NPI: 1285390716
Provider Name: HIAWATHA PRIVATE HEALTHCARE SERVICE, LLC
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
3424 KENSINGTON DR S
AUGUSTA, GA
ZIP 30906
Phone: (706) 306-0091
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HIAWATHA PRIVATE HEALTHCARE SERVICE, LLC is a home health registered nurse in Augusta, GA. HIAWATHA PRIVATE HEALTHCARE SERVICE, LLC NPI is 1285390716. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3424 KENSINGTON DR S
AUGUSTA, GA
ZIP 30906-002
Phone: (706) 306-0091
Fax: (706) 796-0261

The provider's authorized official is Hiawatha Vennessa Rainey .
The authorized official title is Administrator and has the following contact phone number (706) 306-0091.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.

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	163WH0200X	Registered Nurse	Home Health			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: 11/14/2023

NPI Synchronization or Removal

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