Healthcare Provider Details

I. General information

NPI: 1477235489
Provider Name (Legal Business Name): R&R HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3648 CRAWFORDVILLE DR
AUGUSTA GA
30909-9435
US

IV. Provider business mailing address

3783 RAIDERS RIDGE DR
LITHONIA GA
30038-3667
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-4130
  • Fax:
Mailing address:
  • Phone: 404-851-4130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RODNEY EVANS
Title or Position: ADMINISTRATOR
Credential:
Phone: 470-696-6176