Healthcare Provider Details

I. General information

NPI: 1912827411
Provider Name (Legal Business Name): DOCTOR BIRD HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 CUMBERLAND BLVD SE STE 500
ATLANTA GA
30339-5997
US

IV. Provider business mailing address

3330 CUMBERLAND BLVD SE STE 500
ATLANTA GA
30339-5997
US

V. Phone/Fax

Practice location:
  • Phone: 404-647-7730
  • Fax: 404-647-7730
Mailing address:
  • Phone: 404-647-7730
  • Fax: 404-647-7730

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: RUSHELL CASANDRA WILSON
Title or Position: OWNER
Credential:
Phone: 404-647-7730