Healthcare Provider Details

I. General information

NPI: 1265304281
Provider Name (Legal Business Name): WEST HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12461 VETERANS MEMORIAL HWY
DOUGLASVILLE GA
30134-2025
US

IV. Provider business mailing address

2364 MIDDLEBERRY CLOISTER
DOUGLASVILLE GA
30135-8175
US

V. Phone/Fax

Practice location:
  • Phone: 404-272-9467
  • Fax:
Mailing address:
  • Phone:
  • 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: KATRINA WEST
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 404-272-9467