| NPI | 1740692748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PEART Owner/Administrator 866-926-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA 067-R-1315) |
| 163WH0200X Registered Nurse Home Health | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care (Licence: GA 067-R-1315) | |
| 251S00000X Community/Behavioral Health (Licence: GA 067-R-1315) | |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2024-02-12 |