NPI 1831674563 · live from the CMS NPI Registry
Access Home Care, LLC
In Home Supportive Care in Stone Mountain, GA. National Provider Identifier 1831674563, active.
NPI record
| NPI | 1831674563 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 6200 Memorial Dr Ste I, Stone Mountain, GA 30083 |
| Practice phone | 207-312-8676 |
| Mailing address | Po Box 831113, Stone Mountain, GA 30083 |
| Enumerated | September 28, 2018 |
| Last updated | September 28, 2018 |
| Authorized official | Mohamed Jama, Adminstrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | — |
| Home Health | 251E00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.