MEDICARE: JUST CARE HOME CARE 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922955244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST CARE HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	1735 IRWINTON RD STE 4A
Second Line	:
City	:	MILLEDGEVILLE
State	:	GA
Zip	:	31061-3830
Country	:	US
Telephone Number	:	470-547-0872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 IRWINTON RD STE 4A
Second Line	:
City	:	MILLEDGEVILLE
State	:	GA
Zip	:	31061-3830
Country	:	US
Telephone Number	:	470-547-0872
Fax Number	:

Authorized Official
Title or Position	:	CEO / OWNER
Name	:	MR. FARIS LEONARD FLOURNOY III
Credential	:
Telephone Number	:	404-904-4276

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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