Healthcare Provider Details

I. General information

NPI: 1881909919
Provider Name (Legal Business Name): AMERICARE HEALTH SERVICES OF ATLANTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8431 BROWNS MILL TRCE
LITHONIA GA
30038-7509
US

IV. Provider business mailing address

8431 BROWNS MILL TRCE
LITHONIA GA
30038-7509
US

V. Phone/Fax

Practice location:
  • Phone: 770-841-4763
  • Fax:
Mailing address:
  • Phone: 770-841-4763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. OKECHUKWU NNAJI
Title or Position: RN-PARTNER
Credential:
Phone: 770-841-4763