Georgia in Home Support Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

056-R-0260 Issued in GA

Legal business name

GEORGIA IN HOME SUPPORT SERVICES

Practice address

155 Zelkova Dr
Fayetteville, GA 30215-2528

Phone

(678) 817-7338

NPI assigned

Aug 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shantel Marie Forstall, MSW

Title

Administrator

Phone

(678) 817-7338

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063424752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ZELKOVA DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152528",
            "telephone_number": "678-817-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ZELKOVA DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152528",
            "telephone_number": "678-817-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA IN HOME SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FORSTALL",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-817-7338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "056-R-0260",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "056-R-0260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Rehabilitation Center Inc
• Georgia Rehabilitation Center, Inc.
• Georgia Senior Friends LLC

• Home Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.