Healthcare Provider Details

I. General information

NPI: 1558224790
Provider Name (Legal Business Name): GEORGIA HOME HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 CAMPBELL HILL ST NW STE 116
MARIETTA GA
30060-1135
US

IV. Provider business mailing address

833 CAMPBELL HILL ST NW STE 116
MARIETTA GA
30060-1135
US

V. Phone/Fax

Practice location:
  • Phone: 478-957-3167
  • Fax:
Mailing address:
  • Phone: 478-957-3167
  • Fax:

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: CHIRAG PATEL
Title or Position: OWNER
Credential:
Phone: 478-297-8310