ACCESSIBLE HEALTH CARE OF SOUTH ATLANTA
NPI 1124202973
Home Health in Tyrone, GA

Active since December 27, 2007
1015 TYRONE RD STE 110, TYRONE, GA 30290(770) 306-3416(770) 306-3417 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About ACCESSIBLE HEALTH CARE OF SOUTH ATLANTA

This page provides the complete NPI Profile along with additional information for Accessible Health Care Of South Atlanta, a provider established in Tyrone, Georgia operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1124202973 assigned on December 2007. The practitioner's primary taxonomy code is 251E00000X with license number 060-R-0322 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Accessible Health Care Of South Atlanta. The authorized official of this NPI record is Mr. Dickson Osanu Rn (Administrator)

NPI
1124202973 Verify this NPI
Provider Legal Name
EPIPHANY HEALTHCARE SYSTEM, INC
Other Organization Name
ACCESSIBLE HEALTH CARE OF SOUTH ATLANTA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1015 TYRONE RD STE 110 TYRONE, GA 30290
Location Phone
(770) 306-3416
Location Fax
(770) 306-3417
Mailing Address
4405 MALL BLVD SUITE 518 UNION CITY, GA 30291
Mailing Phone
(770) 306-3416
Mailing Fax
(770) 306-3417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2007
Last Update Date
08-20-2018
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Location Map

Secondary Locations

  • 906 Fagan Drive Bldg A. Suite 6A
    Hammond, LA 70403
    (985) 956-7370

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
060-R-0322
License State
GA
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DICKSON OSANU RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(770) 306-3416

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124202973, enumerated as an "organization" on December 27, 2007.

The provider is located at 1015 TYRONE RD STE 110 TYRONE, GA 30290 and the phone number is (770) 306-3416.

Home Health with taxonomy code 251E00000X.