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NPI Code Detail

MEDICARE: TAKE CARE HEALTHCARE

MEDICARE: TAKE CARE HEALTHCARE
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
1163W00000XRegistered Nurse
2164W00000XLicensed Practical Nurse
3174200000XMeals Provider
4177F00000XLodging Provider
5251B00000XCase Management Agency
6251E00000XHome Health Agency
7251S00000XCommunity/Behavioral Health Agency
8253Z00000XIn Home Supportive Care Agency
9261QM1300XMulti-Specialty Clinic/Center
10310400000XAssisted Living Facility
11343900000XNon-emergency Medical Transport (VAN)
12347E00000XTransportation Broker
13385H00000XRespite Care
14251J00000XNursing Care Agency

General Provider Information

NPI Number : 1285400465
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAKE CARE HEALTHCARE
Provider Business Mailing Address
First Line : 405 KENDRICK TER SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-9109
Country : US
Telephone Number : 404-839-2107
Fax Number :
Provider Business Practice Location Address
First Line : 405 KENDRICK TER SW
Second Line :
City : SOUTH FULTON
State : GA
Zip : 30331-9109
Country : US
Telephone Number : 678-815-1234
Fax Number :
Authorized Official
Title or Position : NURSE
Name : KALIA C LUCAS-SMITH
Credential :
Telephone Number : 404-839-2107
Provider Enumeration Date : 11/29/2023
Last Update Date : 11/29/2023

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Directions to “TAKE CARE HEALTHCARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.