Healthcare Provider Details

I. General information

NPI: 1083530760
Provider Name (Legal Business Name): DESOUZA CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 PACES FERRY RD SE STE 750
ATLANTA GA
30339-4053
US

IV. Provider business mailing address

2727 PACES FERRY RD SE STE 750
ATLANTA GA
30339-4053
US

V. Phone/Fax

Practice location:
  • Phone: 404-470-9870
  • Fax: 404-799-7384
Mailing address:
  • Phone: 404-470-9870
  • Fax: 404-799-7384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIRK HENNY
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 404-470-9870