Healthcare Provider Details

I. General information

NPI: 1952726218
Provider Name (Legal Business Name): THE 3M GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5109 HIGHWAY 278 NE STE C
COVINGTON GA
30014-2608
US

IV. Provider business mailing address

5109 HIGHWAY 278 NE STE C
COVINGTON GA
30014-2608
US

V. Phone/Fax

Practice location:
  • Phone: 678-712-6636
  • Fax: 678-712-6638
Mailing address:
  • Phone: 678-712-6636
  • Fax: 678-712-6638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number107-R-1026
License Number StateGA

VIII. Authorized Official

Name: MR. MARK ROSS
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 678-712-6636