Memorial Careone Home Health Services, Inc
Organization Active NPI Home Health Agency · Vidalia, GA
NPI 1790793628 · NPPES record last updated Oct 31, 2007
Key facts
- NPI
- 1790793628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 138-112 (GA)
- Legal business name
- MEMORIAL CAREONE HOME HEALTH SERVICES, INC
- Practice address
- 201 Maple Dr
Vidalia, GA 30474-8906 - Phone
- (912) 537-9004
- Fax
- (912) 537-0235
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Deanna M. Wildes, RN
- Title
- Director of Operations
- Phone
- (912) 350-6559
National Provider Directory
Locations
201 Maple Dr
Vidalia, GA 30474
Phone (912) 537-9004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 138-112 | GA | Yes |
Addresses
Primary practice location
201 Maple Dr
Vidalia, GA 30474-8906
Mailing address
PO Box 931861
Atlanta, GA 31198-1861
Phone (912) 350-6405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5817100600 006 | Other | BCBS | |
| 00336894A | Medicaid | GA | |
| 117423 | Other | JCAHO | |
| 51000682 001 | Other | BCBS |
Other names
- CareOne Home Health Services-Vidalia Agency
Other providers in Vidalia, GA
- Meadows Regional Medical Center
- Meadows Regional Medical Center Inc
- Meadows Regional Medical Center Inc
- Meadows Regional Medical Center, Inc.
- Meadows Regional Medical Center, Inc.
- Mercy Medical Clinic
- Susanna Meredith
- Middle Georgia DME Company
- Marla Kristen Mikell
- Janice Miller
All providers in Vidalia, 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 Oct 31, 2007. 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.