MEDICARE: WEST GEORGIA COMMUNITY CARE, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437018637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST GEORGIA COMMUNITY CARE, LLC

Provider Business Mailing Address
First Line	:	6918 OAK VALLEY DR
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-1131
Country	:	US
Telephone Number	:	404-980-2674
Fax Number	:

Provider Business Practice Location Address
First Line	:	6918 OAK VALLEY DR
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-1131
Country	:	US
Telephone Number	:	404-980-2674
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GLENDA BARNETT
Credential	:
Telephone Number	:	404-980-2674

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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