MEDICARE: WILLENE'S HOME CARE SERVICES CORPORATION

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

General Provider Information

NPI Number	:	1952968521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLENE'S HOME CARE SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	1205 MANNBROOK DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-5316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 MANNBROOK DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-5316
Country	:	US
Telephone Number	:	678-790-5865
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLENE COLEMAN
Credential	:
Telephone Number	:	678-790-5865

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	05/20/2019

Similar Medicare Providers

1073505061 — DR. JUAN BAEZ MD
Practice Location Address:

10 MOUNTAIN AVE
WARREN, NJ
07059-5316

Practice Phone: 908-899-1019
Practice Fax: 908-448-2482

1881799914 — SHERRI DAWN HOGSETT LPC
Practice Location Address:

2322 MOUNTAIN VALLEY DR
LARAMIE, WY
82070-5316

Practice Phone: 307-761-2527
Practice Fax:

1861324048 — CSS MANAGEMENT SERVICES
Practice Location Address:

4380 LEGENDARY ST
STONE MOUNTAIN, GA
30083-5248

Practice Phone: 404-786-2688
Practice Fax: 404-475-2008

1689011181 — TEMITOPE IBEREOLA AFON M.D.
Practice Location Address:

5244 MEMORIAL DR STE 1101
STONE MOUNTAIN, GA
30083-3157

Practice Phone: 404-905-0100
Practice Fax: 877-890-2406

1982536546 — JAY HAY PRODUCTIONS LLC
Practice Location Address:

957 MAIN ST STE 194
STONE MOUNTAIN, GA
30083-3060

Practice Phone: 470-379-6398
Practice Fax:

1578569323 — STONE MOUNTAIN IMMEDIATE MEDICAL CARE, INC.
Practice Location Address:

833 N HAIRSTON RD
STONE MOUNTAIN, GA
30083-3423

Practice Phone: 770-879-5553
Practice Fax: 770-879-5592

Directions to “WILLENE'S HOME CARE SERVICES CORPORATION ” 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.