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NPI Code Detail

MEDICARE: IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME

MEDICARE: IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME
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
1163WH0200XHome Health Registered Nurse
22278H0200XHome Health Certified Respiratory Therapist
3364SH0200XHome Health Clinical Nurse Specialist
42279H0200XHome Health Registered Respiratory Therapist
5374U00000XHome Health Aide
6251E00000XHome Health Agency

General Provider Information

NPI Number : 1417767500
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME
Provider Business Mailing Address
First Line : 3296 HIGHPOINT CT
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7401
Country : US
Telephone Number : 201-361-1431
Fax Number : 201-482-2893
Provider Business Practice Location Address
First Line : 1700 N LINCOLN ST
Second Line :
City : DENVER
State : CO
Zip : 80203-4500
Country : US
Telephone Number : 201-361-1431
Fax Number : 201-482-2893
Authorized Official
Title or Position : DIRECTOR
Name : SHARON A PEART
Credential :
Telephone Number : 201-361-1431
Provider Enumeration Date : 01/10/2025
Last Update Date : 04/04/2026

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Directions to “IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME ” Practice Location

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