Healthcare Provider Details

I. General information

NPI: 1558743443
Provider Name (Legal Business Name): FMS HEALTHCARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2015
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 PIEDMONT RD NE SUITE 2050
ATLANTA GA
30305-1811
US

IV. Provider business mailing address

3333 PIEDMONT RD NE SUITE 2050
ATLANTA GA
30305-1811
US

V. Phone/Fax

Practice location:
  • Phone: 404-736-9174
  • Fax: 404-736-9374
Mailing address:
  • Phone: 404-736-9174
  • Fax: 404-736-9374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MYESHIA GEORGE
Title or Position: CEO
Credential: LVN
Phone: 646-961-9099