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General NPI Number Information
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NPI Number | 1104791284
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Entity Type | Organization
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Legal Business Name | FOUNDATION HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 8827 LAKE RD
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City | UNION CITY
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State | GA
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Zip | 30291-6033
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Country | US
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Telephone | 404-200-1643
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 11001
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JASMINE JOHNSON
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Credential |
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Telephone | 404-200-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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