Healthcare Provider Details

I. General information

NPI: 1962055129
Provider Name (Legal Business Name): MIR HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2292 CHAMBLEE TUCKER RD STE A
CHAMBLEE GA
30341-3457
US

IV. Provider business mailing address

2292 CHAMBLEE TUCKER RD STE A
CHAMBLEE GA
30341-3457
US

V. Phone/Fax

Practice location:
  • Phone: 404-775-6522
  • Fax: 770-455-6400
Mailing address:
  • Phone: 404-775-6522
  • Fax: 770-455-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RUMANA KAMAL MIR
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 404-775-6522