Healthcare Provider Details

I. General information

NPI: 1134746480
Provider Name (Legal Business Name): LOVE THY NEIGHBOR HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 SCENIC HWY S
SNELLVILLE GA
30078-3115
US

IV. Provider business mailing address

821 COOPERS RIDGE PATH
GRAYSON GA
30017-7845
US

V. Phone/Fax

Practice location:
  • Phone: 912-220-2569
  • Fax:
Mailing address:
  • Phone: 470-902-7269
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAVONNA CLAYTON
Title or Position: OWNER
Credential:
Phone: 470-902-7269