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WELLSTAR HEALTH SYSTEM INC NPI 1821076001


NPI Information

NPI: 1821076001
Provider Name: WELLSTAR HEALTH SYSTEM, INC

Doing Business As: WELLSTAR HOMECARE SERVICES - PRIVATE HOMECARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
805 SANDY PLAINS RD
MARIETTA, GA
ZIP 30066
Phone: (770) 792-1616
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WELLSTAR HEALTH SYSTEM, INC is a nursing care in Marietta, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. WELLSTAR HEALTH SYSTEM, INC NPI is 1821076001. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstar Homecare Services - Private Homecare.

The provider's business location address is:

805 SANDY PLAINS RD
MARIETTA, GA
ZIP 30066-340
Phone: (770) 792-1616
Fax: (770) 792-1687

The provider's authorized official is Anthony J Budzinski .
The authorized official title is Evp and has the following contact phone number (470) 644-0012.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care003-R-0043GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100862694BMEDICAIDGEORGIA
200862694AMEDICAIDGEORGIA
300904593BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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