NPI 1215614482 · live from the CMS NPI Registry
1st Gwinnett Home Care LLC
Home Health in Dacula, GA. National Provider Identifier 1215614482, active.
NPI record
| NPI | 1215614482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1743 Crosswaters Ct, Dacula, GA 30019 |
| Practice phone | 612-396-4827 |
| Mailing address | 35 First St Ste 2, Hoschton, GA 30548 |
| Enumerated | June 29, 2023 |
| Last updated | July 25, 2024 |
| Authorized official | Laura Ndingwan, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
| In Home Supportive Care | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.