Healthcare Provider Details

I. General information

NPI: 1104776392
Provider Name (Legal Business Name): ACCESS CARE AND CASE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4621 WATERS EDGE LN NW
ACWORTH GA
30101-6238
US

IV. Provider business mailing address

4621 WATERS EDGE LN NW
ACWORTH GA
30101-6238
US

V. Phone/Fax

Practice location:
  • Phone: 404-932-0075
  • Fax: 678-744-2849
Mailing address:
  • Phone: 404-932-0075
  • Fax: 678-744-2849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHINYERE STELLA NWEGBO
Title or Position: CEO/OWNER
Credential: PHARMD
Phone: 404-320-0075