Healthcare Provider Details

I. General information

NPI: 1952993214
Provider Name (Legal Business Name): SYNERGY HEALTHCARE MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 STUART AVE
ALBANY GA
31707-1809
US

IV. Provider business mailing address

1503 STUART AVE
ALBANY GA
31707-1809
US

V. Phone/Fax

Practice location:
  • Phone: 229-889-8998
  • Fax: 229-405-3507
Mailing address:
  • Phone: 229-889-8998
  • Fax: 229-405-3507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA RUTH LILLY
Title or Position: ADMINISTRATOR
Credential: MBA,BSBA
Phone: 229-291-1091