Healthcare Provider Details

I. General information

NPI: 1275686586
Provider Name (Legal Business Name): HOMENURSE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 N EXPRESSWAY
GRIFFIN GA
30223-6495
US

IV. Provider business mailing address

PO BOX 634
SUNNY SIDE GA
30284-0634
US

V. Phone/Fax

Practice location:
  • Phone: 770-229-9153
  • Fax: 678-884-1476
Mailing address:
  • Phone: 770-229-9153
  • Fax: 678-884-1476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number126-R-0001
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number126-R-0001
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number126-R-0001
License Number StateGA

VIII. Authorized Official

Name: MRS. LIBBY ABLE
Title or Position: PRESIDENT
Credential: RN
Phone: 770-229-9153