NPI 1235955741
Organization Active NPI Home Health Agency · Auburn, GA
NPI 1235955741 · NPPES record last updated Nov 29, 2024
Key facts
- NPI
- 1235955741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 5889 Wheeler Ridge Rd
Auburn, GA 30011-3488 - Phone
- (678) 294-2403
- NPI assigned
- Nov 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Helen Petgrave
- Title
- Ceo
- Phone
- (678) 294-2403
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5889 Wheeler Ridge Rd
Auburn, GA 30011-3488
Mailing address
5889 Wheeler Ridge Rd
Auburn, GA 30011-3488
Other providers in Auburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 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.