Healthcare Provider Details

I. General information

NPI: 1801784921
Provider Name (Legal Business Name): HANKINS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 HALIBUT CIR
COVINGTON GA
30016-9181
US

IV. Provider business mailing address

210 HALIBUT CIR
COVINGTON GA
30016-9181
US

V. Phone/Fax

Practice location:
  • Phone: 404-988-3481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: KEAWNA DOUGLAS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 404-988-3481