DR.BOSTIC PRIVATE HOME CARE (NPI# 1801438288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801438288 |
| Entity Type | Organization |
| Organization Name | DR.BOSTIC PRIVATE HOME CARE |
| Other Organization Name | HOME CARE |
| Practice Address |
7670 Creekside Ln Riverdale GA 30296-1173 |
| Mailing Address |
Po Box 741888 Riverdale GA 30274-1334 |
| Practice Telephone | 8637773846 |
| Mailing Telephone | 8637773846 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | OCTAVIA BOSTIC (ADMINISTRATION) |
| Authorized Official Telephone | 8637773846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Home Care | Former Legal Business Name - Organization |
| Street Address |
7670 CREEKSIDE LN |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1063019834 | Latoya Marie Jones | Home Health Aide | 8185 Englewood Trl, Riverdale, GA 30274-4246 | 2020-10-05 |
| 1730793613 | Nwamaka J Udegbunam | Home Health Aide | 6303 Kenilworth Ave, Riverdale, MD 20737-1209 | 2020-09-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1508494956 | Chelsea A. Ejimakor | Home Health Aide | 6809 Riverdale Rd Apt 202, Riverdale, MD 20737-1814 | 2020-03-31 |
| 1710518790 | Helena Ogonna Amadi | Home Health Aide | 6169 64th Ave Apt 6, Riverdale, MD 20737-2918 | 2020-01-29 |
| 1982234555 | Collins N Ngoh | Home Health Aide | 6839b Riverdale Rd Apt B2, Riverdale, MD 20737-3688 | 2020-01-22 |
| 1154960060 | Joyce S K Konneh | Home Health Aide | 5321 Wiley St, Riverdale, MD 20737-3044 | 2019-12-26 |
| 1174160402 | Rhena N Bradley | Home Health Aide | 502 W 138th St, Riverdale, IL 60827-1611 | 2019-12-05 |
| Find all providers in RIVERDALE | ||||
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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.