Healthcare Provider Details

I. General information

NPI: 1932074275
Provider Name (Legal Business Name): KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 HIRAM DOUGLASVILLE HWY STE 219
HIRAM GA
30141-4964
US

IV. Provider business mailing address

3595 HIRAM DOUGLASVILLE HWY STE 219
HIRAM GA
30141-4964
US

V. Phone/Fax

Practice location:
  • Phone: 678-739-7339
  • Fax: 770-763-8185
Mailing address:
  • Phone: 678-739-7339
  • Fax: 770-763-8185

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: KADIAN TESHAGAY FACEY-MARTIN
Title or Position: OWNER
Credential:
Phone: 678-739-7339