Healthcare Provider Details

I. General information

NPI: 1720918857
Provider Name (Legal Business Name): SHIELD OF WARMTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 CARL SANDERS DR
ACWORTH GA
30101-9579
US

IV. Provider business mailing address

643 CARL SANDERS DR
ACWORTH GA
30101-9579
US

V. Phone/Fax

Practice location:
  • Phone: 470-383-7403
  • Fax:
Mailing address:
  • Phone: 470-383-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MS. WHITNEY JANESE
Title or Position: CHIEF PEOPLE OFFICER
Credential:
Phone: 470-383-7403