Healthcare Provider Details

I. General information

NPI: 1093625295
Provider Name (Legal Business Name): EDLIN HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 GA HIGHWAY 49 N STE 1000
BYRON GA
31008-4067
US

IV. Provider business mailing address

212 GA HIGHWAY 49 N STE 1000
BYRON GA
31008-4067
US

V. Phone/Fax

Practice location:
  • Phone: 478-654-5099
  • Fax: 478-654-5099
Mailing address:
  • Phone: 478-654-5099
  • Fax: 478-654-5099

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: CATEENA ODOM
Title or Position: OWNER/NURSE MANAGER
Credential: RN
Phone: 478-662-9599