Provider Type Icon

GEORGIA IN HOME SUPPORT SERVICES NPI 1063424752


NPI Information

NPI: 1063424752
Provider Name: GEORGIA IN HOME SUPPORT SERVICES
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
155 ZELKOVA DR
FAYETTEVILLE, GA
ZIP 30215
Phone: (678) 817-7338
Get Directions

GEORGIA IN HOME SUPPORT SERVICES is a nursing care in Fayetteville, 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. GEORGIA IN HOME SUPPORT SERVICES NPI is 1063424752. The provider is registered as an organization entity type.

The provider's business location address is:

155 ZELKOVA DR
FAYETTEVILLE, GA
ZIP 30215-528
Phone: (678) 817-7338

The provider's authorized official is Shantel Marie Forstall .
The authorized official title is Administrator and has the following contact phone number (678) 817-7338.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.


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 Care056-R-0260GEORGIAYes
2251E00000XHome Health056-R-0260GEORGIAX

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.