Provider Demographics
NPI:1619514924
Name:OPESDEI HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:OPESDEI HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:JENEEN
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-864-5828
Mailing Address - Street 1:6615 ABBOTTS BRIDGE ROAD
Mailing Address - Street 2:6615 ABBOTTS BRIDGE ROAD UNIT 1111
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:901-864-5828
Mailing Address - Fax:
Practice Address - Street 1:6615 ABBOTTS BRIDGE ROAD
Practice Address - Street 2:6615 ABBOTTS BRIDGE ROAD UNIT 1111
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:901-864-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty