Healthcare Provider Details

I. General information

NPI: 1225947120
Provider Name (Legal Business Name): LOTUS HOME HEALTH AGENCY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3372 PEACHTREE RD NE UNIT 3111
ATLANTA GA
30326-1918
US

IV. Provider business mailing address

3372 PEACHTREE RD NE UNIT 3111
ATLANTA GA
30326-1918
US

V. Phone/Fax

Practice location:
  • Phone: 404-808-5098
  • Fax:
Mailing address:
  • Phone: 404-808-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY LATRESE COLLINS
Title or Position: CEO
Credential:
Phone: 404-808-5098