Healthcare Provider Details

I. General information

NPI: 1114808458
Provider Name (Legal Business Name): CARENEXIA AT-HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 WHARTON DR SW # S105
ATLANTA GA
30336-2129
US

IV. Provider business mailing address

8735 DUNWOODY PL # 7161
DUNWOODY GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 912-713-3498
  • Fax:
Mailing address:
  • Phone: 912-713-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LETRICIA STEED
Title or Position: ADMINISTRATOR
Credential:
Phone: 912-713-3498