Healthcare Provider Details

I. General information

NPI: 1184236754
Provider Name (Legal Business Name): CARING HANDS FOR SENIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 SAINT MARLO COUNTRY CLUB PKWY
DULUTH GA
30097-1633
US

IV. Provider business mailing address

7535 SAINT MARLO COUNTRY CLUB PKWY
DULUTH GA
30097-1633
US

V. Phone/Fax

Practice location:
  • Phone: 404-587-8500
  • Fax:
Mailing address:
  • Phone: 404-587-8500
  • 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 Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: JAMIL IMRAN
Title or Position: OWNER
Credential:
Phone: 404-587-8500