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NPI Code Detail

MEDICARE: CAREGIVER HOMES OF GEORGIA INC

MEDICARE: CAREGIVER HOMES OF GEORGIA INC
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
1251B00000XCase Management Agency

Other Identifiers

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

General Provider Information

NPI Number : 1932761186
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREGIVER HOMES OF GEORGIA INC
Provider Business Mailing Address
First Line : 5975 CASTLE CREEK PARKWAY NORTH DR STE 425
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-4385
Country : US
Telephone Number : 617-449-4934
Fax Number : 617-236-7777
Provider Business Practice Location Address
First Line : 500 NORTHSIDE XING STE A
Second Line :
City : MACON
State : GA
Zip : 31210-2377
Country : US
Telephone Number : 617-797-0673
Fax Number :
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : AMY SMITH
Credential :
Telephone Number : 617-797-0673
Provider Enumeration Date : 07/08/2019
Last Update Date : 02/13/2025

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Directions to “CAREGIVER HOMES OF GEORGIA INC ” Practice Location

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