Healthcare Provider Details

I. General information

NPI: 1649181231
Provider Name (Legal Business Name): BE WELL HEALTH SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8317 REGENT ST
JONESBORO GA
30238
US

IV. Provider business mailing address

127 JONESBORO RD STE 1650
JONESBORO GA
30236-2468
US

V. Phone/Fax

Practice location:
  • Phone: 404-626-0776
  • Fax: 800-556-1684
Mailing address:
  • Phone: 404-626-0776
  • Fax: 800-556-1684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. NINA JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 404-626-0776