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NPI Code Detail

MEDICARE: SYNERGY HEALTH HOME CARE AND RECOVERY LLC

MEDICARE: SYNERGY HEALTH HOME CARE AND RECOVERY 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
1101YM0800XMental Health Counselor
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1558214684
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY HEALTH HOME CARE AND RECOVERY LLC
Provider Business Mailing Address
First Line : 1100 PITTSBURG AVE
Second Line :
City : WHITE PLAINS
State : GA
Zip : 30678-1912
Country : US
Telephone Number : 267-261-2981
Fax Number : 800-878-6067
Provider Business Practice Location Address
First Line : 5534 SAINT JOE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-3328
Country : US
Telephone Number : 267-261-2981
Fax Number : 800-878-6067
Authorized Official
Title or Position : OWNER
Name : KERA ANDERSON
Credential :
Telephone Number : 267-261-2981
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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