Healthcare Provider Details

I. General information

NPI: 1811888316
Provider Name (Legal Business Name): ARISE BEACON CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2025
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE 4471
ATLANTA GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL STE 4471
ATLANTA GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 770-404-0113
  • Fax:
Mailing address:
  • Phone: 770-404-0113
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAMARA CURTIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 770-404-0113