Healthcare Provider Details
I. General information
NPI: 1487834768
Provider Name (Legal Business Name): EPIC HEALTH SERVICES (DE), LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
56 W MAIN ST STE 211
CHRISTIANA DE
19702-1500
US
IV. Provider business mailing address
400 INTERSTATE NORTH PKWY SE STE 1600
ATLANTA GA
30339-5047
US
V. Phone/Fax
- Phone: 302-504-4101
- Fax: 302-504-4112
- Phone: 470-464-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
BUCKHALTER
Title or Position: CFO
Credential:
Phone: 470-464-8000