NPI Code Details Logo

NPI 1407775125

NPI 1407775125 : CHELSEA HULL LPN : DECATUR, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407775125
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHELSEA HULL LPN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2026
-----------------------------------------------------
    Last Update Date     |    07/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1605 CHURCH STREET STE 610 PMB 176
-----------------------------------------------------
    City                 |    DECATUR
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30033
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-771-2822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3938 RIVERSIDE PKWY 
-----------------------------------------------------
    City                 |    DECATUR
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30034-7335
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-771-2822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    374U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Aide
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.