Healthcare Provider Details

I. General information

NPI: 1407774078
Provider Name (Legal Business Name): IMPERISHABLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MARTIN LUTHER KING JR DR SW
ATLANTA GA
30310-1101
US

IV. Provider business mailing address

4451 LOMBARD RD
ELLENWOOD GA
30294-1520
US

V. Phone/Fax

Practice location:
  • Phone: 770-291-9812
  • Fax: 470-242-3057
Mailing address:
  • Phone: 404-683-0470
  • Fax: 470-242-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAWANDA L SAVAGE
Title or Position: OWNER
Credential:
Phone: 404-683-0470