Tisha Owes
Individual provider Active NPI Home Health Agency · Covington, GA
NPI 1922538529 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922538529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 110 Trinity Dr
Covington, GA 30016 - Phone
- (678) 451-4226
- Fax
- (678) 342-0583
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autumn Home Health Tcof | Home Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | GA | ||
| Nurse's Aide | 376K00000X | GA | ||
| Home Health Agency | 251E00000X | GA | Yes |
Addresses
Primary practice location
110 Trinity Dr
Covington, GA 30016
Mailing address
110 Trinity Dr
Covington, GA 30016-8505
Phone (678) 451-4226
Other providers in Covington, GA
- Orthoatlanta, LLC
- Osp Maximum Healthcare LLC
- OT Just for Kids, LLC
- Otransit, Inc
- Joseph T Overton Jr.
- Taiwo Oyesanya
- Brianna O Ozenne
- Karissa Pace
- Wesley Pace
- Judy Marlena Page
All providers in Covington, 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 Jul 21, 2022. 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.