Healthcare Provider Details

I. General information

NPI: 1750658043
Provider Name (Legal Business Name): CARING SUPPORT & SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 LAUREL MILL DRIVE
ROSWELL GA
30076-7334
US

IV. Provider business mailing address

955 LAUREL MILL DRIVE
ROSWELL GA
30076-7334
US

V. Phone/Fax

Practice location:
  • Phone: 404-382-7672
  • Fax: 404-994-2849
Mailing address:
  • Phone: 404-382-7672
  • Fax: 404-994-2849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: BELENA BUTLER
Title or Position: DIRECTOR
Credential: MSN CCM
Phone: 404-906-4276