MEDICARE: ESO HEALTHCARE 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	:	1669312559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESO HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	550 EMERALD LAKE DR
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-5068
Country	:	US
Telephone Number	:	404-428-5808
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 EMERALD LAKE DR
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-5068
Country	:	US
Telephone Number	:	404-428-5808
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN AYUKOKATA
Credential	:
Telephone Number	:	404-428-5808

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

Similar Medicare Providers

1396685277 — ANOFIU OWOSENI
Practice Location Address:

205 THRUSHWOOD DR
FAYETTEVILLE, GA
30215-2157

Practice Phone: 631-552-7476
Practice Fax:

1770964934 — TANYA A THOMAS NP
Practice Location Address:

78 SOUTHERN GOLF CT
FAYETTEVILLE, GA
30215-8008

Practice Phone: 678-472-4386
Practice Fax:

1962407973 — DR. SCOTT RANDALL ARROWSMITH MD
Practice Location Address:

130 GOVERNORS SQ , STE C
FAYETTEVILLE, GA
30215-4862

Practice Phone: 770-631-9991
Practice Fax: 770-631-3663

1710972773 — FAYETTE COUNTY BOARD OF HEALTH
Practice Location Address:

245 BOOKER AVE STE A
FAYETTEVILLE, GA
30215-2307

Practice Phone: 770-305-5416
Practice Fax: 770-305-5422

1689660235 — MRS. VICKI M LEOPOLD LCSW
Practice Location Address:

170 BROADMOOR DR
FAYETTEVILLE, GA
30215-2714

Practice Phone: 770-461-0284
Practice Fax: 770-461-0284

1275520280 — TRINA STERLING OTR/L
Practice Location Address:

175 BONNIE LN
FAYETTEVILLE, GA
30215

Practice Phone: 678-471-7216
Practice Fax:

Directions to “ESO HEALTHCARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.