Provider Demographics
NPI:1053737296
Name:OUTCOMES HEALTH CONNECTIONS, LLC
Entity type:Organization
Organization Name:OUTCOMES HEALTH CONNECTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, JD
Authorized Official - Phone:404-713-2526
Mailing Address - Street 1:13010 MORRIS RD
Mailing Address - Street 2:BUILDING TWO
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3873
Mailing Address - Country:US
Mailing Address - Phone:404-713-2526
Mailing Address - Fax:
Practice Address - Street 1:13010 MORRIS RD
Practice Address - Street 2:BUILDING TWO
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3873
Practice Address - Country:US
Practice Address - Phone:404-713-2526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407196819OtherNPI