Healthcare Provider Details

I. General information

NPI: 1851116792
Provider Name (Legal Business Name): FDH - ATLANTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2024
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 PEACHTREE ST NE STE 400
ATLANTA GA
30309-4426
US

IV. Provider business mailing address

999 PEACHTREE ST NE STE 400
ATLANTA GA
30309-4426
US

V. Phone/Fax

Practice location:
  • Phone: 404-330-9308
  • Fax:
Mailing address:
  • Phone: 404-330-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHERINE GREESON
Title or Position: OWNER
Credential:
Phone: 770-676-4463