MEDICARE: AIDE PLUS HOMECARE SERVICES 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	:	1578426979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDE PLUS HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	903 YANCEY CT
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9037
Country	:	US
Telephone Number	:	470-504-0979
Fax Number	:

Provider Business Practice Location Address
First Line	:	903 YANCEY CT
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9037
Country	:	US
Telephone Number	:	470-504-0979
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MABEL AMEDOR
Credential	:
Telephone Number	:	470-504-0979

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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