Healthcare Provider Details

I. General information

NPI: 1710817317
Provider Name (Legal Business Name): NURTURING HEARTS HORIZON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 PARKLAKE DR NE STE 376
ATLANTA GA
30345-2938
US

IV. Provider business mailing address

2310 PARKLAKE DR NE STE 376
ATLANTA GA
30345-2938
US

V. Phone/Fax

Practice location:
  • Phone: 770-450-8116
  • Fax:
Mailing address:
  • Phone: 770-450-8116
  • 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

VIII. Authorized Official

Name: DR. AFUA AMOAH KUBITI
Title or Position: ADMINISTRATOR
Credential: DSW, LMSW
Phone: 770-450-8116