Healthcare Provider Details

I. General information

NPI: 1932404928
Provider Name (Legal Business Name): ASSIST HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 SCENIC DR STE 4
BLUE RIDGE GA
30513-6055
US

IV. Provider business mailing address

PO BOX 2530
BLUE RIDGE GA
30513-0044
US

V. Phone/Fax

Practice location:
  • Phone: 706-258-2978
  • Fax: 706-632-4354
Mailing address:
  • Phone: 706-258-2978
  • Fax: 706-632-4354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number055-R-0860
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number055-R-0860
License Number StateGA

VIII. Authorized Official

Name: GEORGE WILLIAM GIBBS
Title or Position: ADMINISTRATOR
Credential:
Phone: 706-229-7432