MEDICARE: IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251G00000X	Community Based Hospice Care Agency
3	261QP2000X	Physical Therapy Clinic/Center
4	343900000X	Non-emergency Medical Transport (VAN)
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134930092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME

Provider Business Mailing Address
First Line	:	3296 HIGHPOINT CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-7401
Country	:	US
Telephone Number	:	201-361-1431
Fax Number	:	201-482-2893

Provider Business Practice Location Address
First Line	:	24 E WASHINGTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1727
Country	:	US
Telephone Number	:	201-361-1431
Fax Number	:	201-482-2893

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHARON A PEART
Credential	:
Telephone Number	:	201-361-1431

Provider Enumeration Date	:	01/18/2025
Last Update Date	:	04/04/2026

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