Healthcare Provider Details

I. General information

NPI: 1619831005
Provider Name (Legal Business Name): B&J HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4693 THOMPSON MILL RD
STONECREST GA
30038-2263
US

IV. Provider business mailing address

4693 THOMPSON MILL RD
STONECREST GA
30038-2263
US

V. Phone/Fax

Practice location:
  • Phone: 404-645-8550
  • Fax: 404-645-8550
Mailing address:
  • Phone: 404-645-8550
  • Fax: 404-645-8550

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: FALY KESSO BANGOURA
Title or Position: MANAGER
Credential:
Phone: 404-645-8550