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NPI 1730772245

NPI 1730772245 : AFFORDABLE CARE SERVICES AND ENTERPRISES, LLC : STONE MOUNTAIN, GA

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General NPI Number Information
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    NPI Number           |    1730772245
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFORDABLE CARE SERVICES AND ENTERPRISES, LLC 
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Dates
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    Enumeration Date     |    02/16/2021
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    Last Update Date     |    11/11/2024
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Provider Practice Location Address
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    Address Line         |    925 MAIN ST STE 106 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30083-3090
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    Country              |    US
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    Telephone            |    404-405-4571
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    Fax                  |    678-805-4627
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Provider Business Mailing Address
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    Address Line         |    925 MAIN ST STE 106 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30083-3090
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    Country              |    US
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    Telephone            |    404-405-4571
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    Fax                  |    678-805-4627
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MS. SHEMIKA  PEALER 
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    Credential           |    
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    Telephone            |    800-299-5670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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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        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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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        |    376J00000X
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    Taxonomy Name        |    Homemaker
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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        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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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        |    385H00000X
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    Taxonomy Name        |    Respite Care
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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