MEDICARE: R&K HOME HEALTHCARE AGENCY

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	:	1922958297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&K HOME HEALTHCARE AGENCY

Provider Business Mailing Address
First Line	:	284 HIGHWAY 314 STE E
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7832
Country	:	US
Telephone Number	:	770-964-0610
Fax Number	:	770-964-0608

Provider Business Practice Location Address
First Line	:	284 HIGHWAY 314 STE E
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7832
Country	:	US
Telephone Number	:	770-964-0610
Fax Number	:	770-964-0608

Authorized Official
Title or Position	:	OWNER
Name	:	RITA OGLESBY
Credential	:
Telephone Number	:	678-708-2557

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	05/18/2026

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