Healthcare Provider Details

I. General information

NPI: 1417016452
Provider Name (Legal Business Name): FLOYD HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 JOHN PHILLIPS RD
CEDARTOWN GA
30125-2353
US

IV. Provider business mailing address

PO BOX 51266
LAFAYETTE LA
70505-1266
US

V. Phone/Fax

Practice location:
  • Phone: 706-802-4600
  • Fax: 706-802-4604
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-233-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA L PROFFITT
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 337-233-1307