Healthcare Provider Details

I. General information

NPI: 1568131944
Provider Name (Legal Business Name): NEXT MOVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 WOLF PACK LN
ATLANTA GA
30349-8895
US

IV. Provider business mailing address

PO BOX 303
FAIRBURN GA
30213-0303
US

V. Phone/Fax

Practice location:
  • Phone: 770-580-4339
  • Fax:
Mailing address:
  • Phone: 770-580-4339
  • 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
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DEZMOND WRIGHT
Title or Position: OWNER
Credential:
Phone: 770-580-4339