Healthcare Provider Details

I. General information

NPI: 1245134121
Provider Name (Legal Business Name): TONKON HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 WINDY HILL RD SE STE 319A
MARIETTA GA
30067-8613
US

IV. Provider business mailing address

2470 WINDY HILL RD SE STE 319A
MARIETTA GA
30067-8613
US

V. Phone/Fax

Practice location:
  • Phone: 678-559-4978
  • Fax:
Mailing address:
  • Phone: 678-559-4978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ONYEKACHUKWU TONY EHIMA
Title or Position: PRESIDENT
Credential: ADMINISTRATOR
Phone: 678-559-4978