1St Gwinnett Home Care LLC
Organization Active NPI Home Health Agency · Dacula, GA
NPI 1215614482 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1215614482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- 1ST GWINNETT HOME CARE LLC
- Practice address
- 1743 Crosswaters CT
Dacula, GA 30019-1729 - Phone
- (612) 396-4827
- NPI assigned
- Jun 29, 2023
- Organization subpart
- No
Authorized official
- Name
- Laura Ndingwan
- Title
- Owner/President
- Phone
- (612) 396-4827
National Provider Directory
Locations
35 First St
Ste 2
Hoschton, GA 30548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1743 Crosswaters CT
Dacula, GA 30019-1729
Mailing address
35 First St Ste 2
Hoschton, GA 30548-2234
Phone (770) 318-7530
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.