Healthcare Provider Details

I. General information

NPI: 1760399786
Provider Name (Legal Business Name): LAMBS HOUSE HEALTHCARE ADMINISTRATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 TRELAWNEY BND
COVINGTON GA
30016-6878
US

IV. Provider business mailing address

1705 HIGHWAY 138 SE UNIT 83057
CONYERS GA
30013-0158
US

V. Phone/Fax

Practice location:
  • Phone: 678-662-3506
  • Fax: 470-327-2163
Mailing address:
  • Phone: 678-662-3506
  • Fax: 470-327-2163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DOROTHEA DENNIS
Title or Position: MANAGING PARTNER
Credential:
Phone: 678-662-3506