MEDICARE: AMERICAN HEARTS & HOME

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
2	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1992153134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEARTS & HOME

Provider Business Mailing Address
First Line	:	125 TOWNPARK DR
Second Line	:	SUITE 300
City	:	KENNESAW
State	:	GA
Zip	:	30144-2411
Country	:	US
Telephone Number	:	404-474-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 ENTERPRISE PATH STE 101
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-2655
Country	:	US
Telephone Number	:	470-305-1490
Fax Number	:	470-357-6362

Authorized Official
Title or Position	:	OWNER
Name	:	CAPRISHA WARREN
Credential	:
Telephone Number	:	470-422-8769

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	05/24/2021

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Directions to “AMERICAN HEARTS & HOME ” Practice Location

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