Organization · Type 2 NPI

Business Enterprise

In Home Supportive Care Agency · Locust Grove, GA

NPI number 1639855307 Active

Practice location

300 Southgate Dr
Locust Grove, GA 30248-4238

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency Primary 253Z00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1639855307

Business Enterprise's National Provider Identifier is 1639855307, issued on Jun 26, 2023. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Locust Grove, GA. The record was last updated on Sep 9, 2026.