Healthcare Provider Details

I. General information

NPI: 1104757020
Provider Name (Legal Business Name): SENIOR CARE MANAGEMENT SOLUTIONS ATLANTA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E PONCE DE LEON AVE STE 120
DECATUR GA
30030-3412
US

IV. Provider business mailing address

235 E PONCE DE LEON AVE STE 120
DECATUR GA
30030-3412
US

V. Phone/Fax

Practice location:
  • Phone: 404-779-0300
  • Fax:
Mailing address:
  • Phone: 404-779-0300
  • 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: CHRIS HIMBER
Title or Position: PRESIDENT
Credential:
Phone: 901-827-6488