Healthcare Provider Details

I. General information

NPI: 1992350656
Provider Name (Legal Business Name): REMAIN AT HOME SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 RESEARCH DR STE 110
ATHENS GA
30605-2759
US

IV. Provider business mailing address

330 RESEARCH DR STE 110
ATHENS GA
30605-2759
US

V. Phone/Fax

Practice location:
  • Phone: 706-961-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN CARRIGAN
Title or Position: OWNER
Credential:
Phone: 706-254-2000