Individual provider · Type 1 NPI

Ken Ibeto

Home Health Agency · Lithia Springs, GA

NPI number 1053807347 Active

Practice location

7646 Forest Glen Way
Lithia Springs, GA 30122-6867

Fax (404) 393-4950

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X048-R-2014 (GA)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1053807347

Ken Ibeto's National Provider Identifier is 1053807347, issued on Jul 10, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lithia Springs, GA. The record was last updated on Oct 20, 2026.