123 Ga Home Healthcare, LLLP
Organization Active NPI Home Health Agency · Jonesboro, GA
NPI 1285480962 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1285480962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- 123 GA HOME HEALTHCARE, LLLP
- Practice address
- 767 North Ave
Jonesboro, GA 30236-2232 - Phone
- (678) 846-9557
- NPI assigned
- Apr 24, 2024
- Organization subpart
- No
Authorized official
- Name
- Derrick Whisby
- Title
- Ceo
- Phone
- (470) 554-6864
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Home Infusion Agency | 251F00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
767 North Ave
Jonesboro, GA 30236-2232
Mailing address
767 North Ave
Jonesboro, GA 30236-2232
Phone (678) 846-9557
Other names
- 123 GA Home Healthcare
Other providers in Jonesboro, GA
- 123 Ga Home Heathcare LLLP
- 239 Arrowhead Boulevard LP
- 4 Sisters That Care
- 404 Transport, LLC
- 5 Star EMS Transport, LLC
All providers in Jonesboro, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 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.