Healthcare Provider Details

I. General information

NPI: 1710731351
Provider Name (Legal Business Name): CARINGHOME CONNECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 W MARIETTA ST NW UNIT 1602
ATLANTA GA
30318-6279
US

IV. Provider business mailing address

788 W MARIETTA ST NW UNIT 1602
ATLANTA GA
30318-6279
US

V. Phone/Fax

Practice location:
  • Phone: 404-274-5627
  • Fax:
Mailing address:
  • Phone: 404-274-5627
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELENNA SUEZET GRANT- ASHANTI
Title or Position: OWNER
Credential: RN
Phone: 404-274-5627