Healthcare Provider Details

I. General information

NPI: 1437053774
Provider Name (Legal Business Name): THE G FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 PIKE PL
MCDONOUGH GA
30252-2100
US

IV. Provider business mailing address

301 PIKE PL
MCDONOUGH GA
30252-2100
US

V. Phone/Fax

Practice location:
  • Phone: 404-840-9466
  • Fax:
Mailing address:
  • Phone: 404-840-9466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JALIA MUMUNI-NWOSE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 404-840-9466