Healthcare Provider Details

I. General information

NPI: 1841117363
Provider Name (Legal Business Name): WHOLE COMMUNITY CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WESTRIDGE PKWY STE 225
MCDONOUGH GA
30253-3052
US

IV. Provider business mailing address

155 WESTRIDGE PKWY STE 225
MCDONOUGH GA
30253-3052
US

V. Phone/Fax

Practice location:
  • Phone: 470-278-1531
  • Fax:
Mailing address:
  • Phone: 470-278-1531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHONTEL WATTERS
Title or Position: FOUNDER/CEO/ADMINISTRATOR
Credential: MSN,RN
Phone: 470-278-1531