MEDICARE: CARE WITH EXPERIENCE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528790565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE WITH EXPERIENCE

Provider Business Mailing Address
First Line	:	1100 PEACHTREE ST NE STE 900
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-4516
Country	:	US
Telephone Number	:	404-445-3048
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 PEACHTREE ST NE STE 900
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-4516
Country	:	US
Telephone Number	:	404-445-3048
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIZATTE MARTIN
Credential	:
Telephone Number	:	667-500-4579

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	07/26/2023

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Directions to “CARE WITH EXPERIENCE ” Practice Location

Language	Start Address	Practice Location

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