Healthcare Provider Details

I. General information

NPI: 1073445680
Provider Name (Legal Business Name): RYZEN CARE PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 JULIA ANN LN
COVINGTON GA
30016-3809
US

IV. Provider business mailing address

2274 SALEM RD SE STE 106-1263
CONYERS GA
30013-2097
US

V. Phone/Fax

Practice location:
  • Phone: 770-275-1356
  • Fax:
Mailing address:
  • Phone: 770-275-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA CHENAULT
Title or Position: OWNER
Credential:
Phone: 770-275-1356