MEDICARE: ALL CARE HOME HEALTH, 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	253Z00000X	In Home Supportive Care Agency	011-R-0878	GA

General Provider Information

NPI Number	:	1841588324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	195 WALDEN WOODS DR
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31216-7511
Country	:	US
Telephone Number	:	478-335-3003
Fax Number	:	478-781-0195

Provider Business Practice Location Address
First Line	:	5797 HOUSTON RD STE F
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31216-4940
Country	:	US
Telephone Number	:	478-335-3003
Fax Number	:	478-254-3560

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALLEN G. FREEMAN
Credential	:
Telephone Number	:	478-335-3003

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	03/05/2020

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