MEDICARE: UNITED HOME CARE OF SOUTH ATLANTA, INC.

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	:	1538107131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HOME CARE OF SOUTH ATLANTA, INC.

Provider Business Mailing Address
First Line	:	211 E DOYLE ST
Second Line	:
City	:	TOCCOA
State	:	GA
Zip	:	30577-2960
Country	:	US
Telephone Number	:	706-886-8493
Fax Number	:	706-827-2048

Provider Business Practice Location Address
First Line	:	5597 SPRING STREET
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-0000
Country	:	US
Telephone Number	:	706-672-9450
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN AND CEO
Name	:	NEIL L PRUITT JR.
Credential	:
Telephone Number	:	770-279-6200

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	10/23/2025

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