Healthcare Provider Details

I. General information

NPI: 1366392094
Provider Name (Legal Business Name): TRI- COUNTY CIRCLE OF CARE HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N PATTERSON ST STE 13
VALDOSTA GA
31601-5570
US

IV. Provider business mailing address

100 N PATTERSON ST STE 13
VALDOSTA GA
31601-5570
US

V. Phone/Fax

Practice location:
  • Phone: 888-341-6018
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: BERNICE CARNEY
Title or Position: CEO
Credential:
Phone: 888-341-6018