Healthcare Provider Details

I. General information

NPI: 1700531266
Provider Name (Legal Business Name): HOUSE OF AIMER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 PEACHTREE ST NE STE 250
ATLANTA GA
30309-4522
US

IV. Provider business mailing address

2897 N DRUID HILLS RD NE STE 175
ATLANTA GA
30329-3924
US

V. Phone/Fax

Practice location:
  • Phone: 800-452-1321
  • Fax: 800-452-1321
Mailing address:
  • Phone: 770-568-9609
  • Fax: 800-452-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KHALILAH DAVIS
Title or Position: PRESIDENT
Credential:
Phone: 800-452-1321