MEDICARE: A MOTHERS LOVE HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134907769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A MOTHERS LOVE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2055 GEES MILL RD NE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1362
Country	:	US
Telephone Number	:	347-256-2327
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 GEES MILL RD NE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1362
Country	:	US
Telephone Number	:	347-256-2327
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	COREY WARREN
Credential	:
Telephone Number	:	347-256-2327

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	09/15/2023

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