Healthcare Provider Details

I. General information

NPI: 1821805979
Provider Name (Legal Business Name): ATLANTA CAREGIVING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N PARK DR
FAYETTEVILLE GA
30214-1645
US

IV. Provider business mailing address

1612 COLUMBUS AVE STE C
WACO TX
76701-1125
US

V. Phone/Fax

Practice location:
  • Phone: 470-942-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JACOB NEUBERT
Title or Position: OWNER
Credential:
Phone: 254-566-5765