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NPI Code Detail

MEDICARE: CAREGISTICS OF GEORGIA LLC

MEDICARE: CAREGISTICS OF GEORGIA LLC
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
1374U00000XHome Health Aide
2376K00000XNurse's Aide
3163WA2000XAdministrator Registered Nurse
4163WH0200XHome Health Registered Nurse
5163WP0200XPediatric Registered Nurse
6163WW0000XWound Care Registered Nurse
7172A00000XDriver
8372600000XAdult Companion
9163W00000XRegistered Nurse

General Provider Information

NPI Number : 1346989068
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREGISTICS OF GEORGIA LLC
Provider Business Mailing Address
First Line : 500 WINDSOR WAY
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-6446
Country : US
Telephone Number : 404-786-2717
Fax Number :
Provider Business Practice Location Address
First Line : 500 WINDSOR WAY
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-6446
Country : US
Telephone Number : 404-786-2717
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : ELBONE HASKINS
Credential :
Telephone Number : 404-994-4622
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “CAREGISTICS OF GEORGIA LLC ” Practice Location

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