=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811800352
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OAK HOME CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2026
-----------------------------------------------------
Last Update Date | 09/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 510 PLAZA DR STE 1860
-----------------------------------------------------
City | COLLEGE PARK
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30349-6005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-509-0548
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 572 W END PL SW
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30310-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-509-0548
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NAZJAA HUGHSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 404-509-0548
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------