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NPI Code Detail

MEDICARE: ASHLEYCARE HOME HEALTH LLC

MEDICARE: ASHLEYCARE HOME HEALTH 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
1251E00000XHome Health Agency
2372600000XAdult Companion
3374U00000XHome Health Aide
4376J00000XHomemaker
5163WH0200XHome Health Registered Nurse

General Provider Information

NPI Number : 1669327524
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEYCARE HOME HEALTH LLC
Provider Business Mailing Address
First Line : 2948 PARC LORRAINE
Second Line :
City : LITHONIA
State : GA
Zip : 30038-1910
Country : US
Telephone Number : 470-594-8461
Fax Number :
Provider Business Practice Location Address
First Line : 2948 PARC LORRAINE
Second Line :
City : LITHONIA
State : GA
Zip : 30038-1910
Country : US
Telephone Number : 470-594-8461
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : ASHLEY KERNEY
Credential : CNA
Telephone Number : 470-594-8461
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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