Vanguard Healthcare Services

Organization Active NPI Home Health Agency · Marietta, GA

NPI 1104336817 · NPPES record last updated Oct 8, 2017

Key facts

NPI
1104336817
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
033-R-1864 (GA)
Legal business name
VANGUARD HEALTHCARE SERVICES
Practice address
528 Water Birch Way
Marietta, GA 30066-5820
Phone
(678) 612-2700
Fax
(678) 840-0083
NPI assigned
Oct 8, 2017
Organization subpart
No

Authorized official

Name
Shana E Crawford, RN NPI 1992231641
Title
Owner/Don
Phone
(678) 612-2700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 033-R-1864 GA Yes

Addresses

Primary practice location

528 Water Birch Way
Marietta, GA 30066-5820

Mailing address

528 Water Birch Way
Marietta, GA 30066-5820
Phone (678) 612-2700

Other providers in Marietta, GA

All providers in Marietta, GA · Home Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.