Healthcare Provider Details

I. General information

NPI: 1073346524
Provider Name (Legal Business Name): SHRIHARI HEALTH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 POST RD STE 207
CUMMING GA
30040-4968
US

IV. Provider business mailing address

3790 POST RD STE 207
CUMMING GA
30040-4968
US

V. Phone/Fax

Practice location:
  • Phone: 855-667-9264
  • Fax:
Mailing address:
  • Phone: 855-667-9264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health 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: PRIYANKA SINGH
Title or Position: CEO
Credential:
Phone: 855-667-9264