Healthcare Provider Details

I. General information

NPI: 1891495214
Provider Name (Legal Business Name): CARE RUNNERS HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 10/19/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 PENNSYLVANIA AVE STE 206
MCDONOUGH GA
30253-9115
US

IV. Provider business mailing address

1700 PENNSYLVANIA AVE STE 206
MCDONOUGH GA
30253-9115
US

V. Phone/Fax

Practice location:
  • Phone: 404-850-8714
  • Fax: 404-596-8220
Mailing address:
  • Phone: 404-850-8714
  • Fax: 404-596-8220

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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STUART THOMPSON JR.
Title or Position: OWNER
Credential:
Phone: 478-719-0272