Healthcare Provider Details

I. General information

NPI: 1659838571
Provider Name (Legal Business Name): SENSITIVE HOME CARE AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 MORNING DEW
CONYERS GA
30094
US

IV. Provider business mailing address

2225 MORNING DEW
CONYERS GA
30094
US

V. Phone/Fax

Practice location:
  • Phone: 770-648-8296
  • Fax: 770-648-7602
Mailing address:
  • Phone: 770-648-8296
  • Fax: 770-648-7602

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 Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: SANDRA JOAN CLARKE
Title or Position: OWNER
Credential:
Phone: 404-429-0631