Healthcare Provider Details

I. General information

NPI: 1538978879
Provider Name (Legal Business Name): SAFEWATCH HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 ALLENWOOD WAY
TUCKER GA
30084-6004
US

IV. Provider business mailing address

4025 ALLENWOOD WAY
TUCKER GA
30084-6004
US

V. Phone/Fax

Practice location:
  • Phone: 404-216-7775
  • Fax:
Mailing address:
  • Phone:
  • 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: PABITRA POUDYEL
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 404-216-7775