MEDICARE: TRI- COUNTY CIRCLE OF CARE HOME SERVICES 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	374U00000X	Home Health Aide
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366392094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI- COUNTY CIRCLE OF CARE HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	100 N PATTERSON ST STE 13
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N PATTERSON ST STE 13
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:	888-341-6018
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BERNICE CARNEY
Credential	:
Telephone Number	:	888-341-6018

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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