Provider Demographics
NPI:1033733803
Name:JAMES, JOESHOD RAMONE (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:JOESHOD
Middle Name:RAMONE
Last Name:JAMES
Suffix:
Gender:M
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 OAKVALE RD APT 908
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-6951
Mailing Address - Country:US
Mailing Address - Phone:404-271-4279
Mailing Address - Fax:
Practice Address - Street 1:3575 OAKVALE RD APT 908
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-6951
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJ520436944510251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care