PRIVATE HOMESTEAD CARE NPI 1730023797

NPI Information

  • NPI: 1730023797
  • Provider Name: PRIVATE HOMESTEAD CARE
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 3500 MORINDA DR
    DOUGLASVILLE, GA
    ZIP 30135
  • Phone: (404) 957-7419

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NPI Details

PRIVATE HOMESTEAD CARE is a nursing care in Douglasville, 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. PRIVATE HOMESTEAD CARE NPI is 1730023797. The provider is registered as an organization entity type.

The provider's business location address is:

3500 MORINDA DR
DOUGLASVILLE, GA
ZIP 30135-727
Phone: (404) 957-7419
Fax: (770) 577-5876

The provider's authorized official is Catherine W. Simon .
The authorized official title is Organizer and has the following contact phone number (404) 957-7419.

The enumeration date for this NPI number is 4/17/2026 and was last updated on 4/17/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

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: 11/21/2025

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