Healthcare Provider Details

I. General information

NPI: 1932014370
Provider Name (Legal Business Name): DEFT HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3062 HAYNES TRL
JOHNS CREEK GA
30022-1141
US

IV. Provider business mailing address

3062 HAYNES TRL
JOHNS CREEK GA
30022-1141
US

V. Phone/Fax

Practice location:
  • Phone: 470-907-1964
  • Fax:
Mailing address:
  • Phone: 470-907-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL APENA
Title or Position: CEO
Credential:
Phone: 470-907-1964