MEDICARE: ART HOME 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	:	1821444050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART HOME CARE, LLC

Provider Business Mailing Address
First Line	:	4479 NEW JESUP HWY STE 103
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-1693
Country	:	US
Telephone Number	:	912-275-7114
Fax Number	:

Provider Business Practice Location Address
First Line	:	4479 NEW JESUP HWY STE 103
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-1693
Country	:	US
Telephone Number	:	912-275-7114
Fax Number	:	912-342-7261

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	VELENCIA YVETTE DAVIS
Credential	:	RN
Telephone Number	:	912-270-0734

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	08/24/2016

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Directions to “ART HOME CARE, LLC ” Practice Location

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