=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962345884
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOCUSED HEALTH PRIVATE HOME CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2026
-----------------------------------------------------
Last Update Date | 04/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4259 KINGS TROOP RD
-----------------------------------------------------
City | STONE MOUNTAIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30083-4706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-425-6354
-----------------------------------------------------
Fax | 404-425-6354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4259 KINGS TROOP RD
-----------------------------------------------------
City | STONE MOUNTAIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30083-4706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-425-6354
-----------------------------------------------------
Fax | 404-425-6354
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | DENISE BRILLANTE
-----------------------------------------------------
Credential | BRILLANTE
-----------------------------------------------------
Telephone | 404-425-6354
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------