Healthcare Provider Details

I. General information

NPI: 1316193782
Provider Name (Legal Business Name): HEALTHCARE ADVANTAGES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 MEDLOCK BRIDGE RD. STE 420
JOHNS CREEK GA
30097-7917
US

IV. Provider business mailing address

10475 MEDLOCK BRIDGE RD. STE 420
JOHNS CREEK GA
30097
US

V. Phone/Fax

Practice location:
  • Phone: 678-646-5400
  • Fax: 678-646-5401
Mailing address:
  • Phone: 678-646-5400
  • Fax: 678-646-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number067-R-0505
License Number StateGA

VIII. Authorized Official

Name: MR. RANDALL SCOTT MORRISON
Title or Position: PRESIDENT
Credential:
Phone: 770-542-9544