Healthcare Provider Details

I. General information

NPI: 1730772245
Provider Name (Legal Business Name): AFFORDABLE CARE SERVICES AND ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 MAIN ST STE 106
STONE MOUNTAIN GA
30083-3090
US

IV. Provider business mailing address

925 MAIN ST STE 106
STONE MOUNTAIN GA
30083-3090
US

V. Phone/Fax

Practice location:
  • Phone: 404-405-4571
  • Fax: 678-805-4627
Mailing address:
  • Phone: 404-405-4571
  • Fax: 678-805-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SHEMIKA PEALER
Title or Position: DIRECTOR
Credential:
Phone: 800-299-5670