MEDICARE: SAVANNAH PERSONAL CARE SERVICES

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1912872441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVANNAH PERSONAL CARE SERVICES

Provider Business Mailing Address
First Line	:	316 STONEBRIDGE CIR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-9814
Country	:	US
Telephone Number	:	912-798-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1697 STILLWOOD DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-2512
Country	:	US
Telephone Number	:	912-798-9320
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANNON STAFFORD
Credential	:
Telephone Number	:	912-798-9320

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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