Healthcare Provider Details

I. General information

NPI: 1871413302
Provider Name (Legal Business Name): ARSHANDA HOUSE MANAGED CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3576 COVINGTON HWY # 7
DECATUR GA
30032-1834
US

IV. Provider business mailing address

3576 COVINGTON HWY # 7
DECATUR GA
30032-1834
US

V. Phone/Fax

Practice location:
  • Phone: 833-277-4627
  • Fax:
Mailing address:
  • Phone: 833-277-4627
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KAWANNIS MCCOY
Title or Position: OWNER/OPERATOR
Credential:
Phone: 833-277-4627