Healthcare Provider Details

I. General information

NPI: 1477473619
Provider Name (Legal Business Name): TRI-CARE HOME SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 MAIN ST E STE B7
SNELLVILLE GA
30078-6463
US

IV. Provider business mailing address

1970 MAIN ST E STE B7
SNELLVILLE GA
30078-6463
US

V. Phone/Fax

Practice location:
  • Phone: 678-895-3049
  • Fax: 404-393-3575
Mailing address:
  • Phone: 678-895-3049
  • Fax: 404-393-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANYA KRISTEN GOSS
Title or Position: OWNER
Credential:
Phone: 678-895-3049