Peachstate Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEACHSTATE HOMECARE, LLC

Doing business as

Assisting Hands of Forsyth and North Fulton

Practice address

6030 Bethelview Rd Ste 103
Cumming, GA 30040-8021

Phone

(770) 744-3928

Fax

(470) 239-3335

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Stephen Dabbs

Title

Administrator/Owner

Phone

(770) 744-3928

Specialties & licenses 1

Addresses

Other names 1

• Assisting Hands of Forsyth and North Fulton Doing business as

Locations

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1508460619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD STE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408021",
            "telephone_number": "770-744-3928",
            "fax_number": "470-239-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD STE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408021",
            "telephone_number": "770-744-3928",
            "fax_number": "470-239-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHSTATE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-744-3928"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisting Hands of Forsyth and North Fulton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Cumming, GA
• Providers in Cumming, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.