Healthcare Provider Details

I. General information

NPI: 1922808492
Provider Name (Legal Business Name): PROSKILLS HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3197 OVERLOOK HILL PASS
DACULA GA
30019-5108
US

IV. Provider business mailing address

3197 OVERLOOK HILL PASS
DACULA GA
30019-5108
US

V. Phone/Fax

Practice location:
  • Phone: 470-367-9654
  • Fax:
Mailing address:
  • Phone: 470-367-9654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIANE B DORCENA
Title or Position: CEO
Credential:
Phone: 470-367-9654