Healthcare Provider Details

I. General information

NPI: 1952771214
Provider Name (Legal Business Name): RESCARE IN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 HIGHWAY 123
TOCCOA GA
30577-6297
US

IV. Provider business mailing address

74 HIGHWAY 123
TOCCOA GA
30577-6297
US

V. Phone/Fax

Practice location:
  • Phone: 706-282-0060
  • Fax: 706-886-0707
Mailing address:
  • Phone: 706-282-0060
  • Fax: 706-886-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHARON L FEASTER
Title or Position: CSS
Credential:
Phone: 706-282-0060