MEDICARE: CHMG OF ATLANTA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043241656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHMG OF ATLANTA, INC.

Provider Business Mailing Address
First Line	:	12900 FOSTER ST STE 400ATTENTI
Second Line	:	ATTENTION: RUTH SCHWARTZ
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-2649
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 KENTON DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-1256
Country	:	US
Telephone Number	:	913-814-2800
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR LICENSURE
Name	:	RUTH SCHWARTZ
Credential	:
Telephone Number	:	913-814-2288

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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