Healthcare Provider Details

I. General information

NPI: 1043143704
Provider Name (Legal Business Name): ME TIMES TWO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9460 GLACIAL LN STE A
FAIRBURN GA
30213-6437
US

IV. Provider business mailing address

9460 GLACIAL LN STE A
FAIRBURN GA
30213-6437
US

V. Phone/Fax

Practice location:
  • Phone: 678-948-6392
  • Fax: 404-400-4996
Mailing address:
  • Phone: 678-948-6392
  • Fax: 404-400-4996

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: JOCELYN HICKS
Title or Position: OWNER
Credential: CCMA, CNA
Phone: 678-948-6392