MEDICARE: ALLIED HOMECARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477087161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HOMECARE LLC

Provider Business Mailing Address
First Line	:	7143 THOREAU CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-7926
Country	:	US
Telephone Number	:	404-421-3116
Fax Number	:

Provider Business Practice Location Address
First Line	:	7143 THOREAU CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-7926
Country	:	US
Telephone Number	:	404-421-3116
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA POWELL
Credential	:
Telephone Number	:	404-421-3116

Provider Enumeration Date	:	04/19/2017
Last Update Date	:	04/19/2017

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