Healthcare Provider Details

I. General information

NPI: 1699552836
Provider Name (Legal Business Name): CARE AT HOME MEDICAL PRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 275
ATLANTA GA
30318-3098
US

IV. Provider business mailing address

564 NIAGARA ST BLDG 2
BUFFALO NY
14201-1108
US

V. Phone/Fax

Practice location:
  • Phone: 716-882-0366
  • Fax:
Mailing address:
  • Phone: 716-324-5026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY ARMSTEAD
Title or Position: CEO
Credential: MD
Phone: 310-418-7250