Provider Demographics
NPI:1427850247
Name:COWENS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:COWENS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:OSYTA
Authorized Official - Last Name:IKEAKANAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-728-3916
Mailing Address - Street 1:200 RANKIN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8688
Mailing Address - Country:US
Mailing Address - Phone:770-728-3916
Mailing Address - Fax:
Practice Address - Street 1:200 RANKIN CIR
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8688
Practice Address - Country:US
Practice Address - Phone:770-728-3916
Practice Address - Fax:678-432-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health