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DR.BOSTIC PRIVATE HOME CARE NPI 1801438288


NPI Information

NPI: 1801438288
Provider Name: DR.BOSTIC PRIVATE HOME CARE

Former Legal Business Name: HOME CARE

Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
7670 CREEKSIDE LN
RIVERDALE, GA
ZIP 30296
Phone: (863) 777-3846
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DR.BOSTIC PRIVATE HOME CARE is a home health aide in Riverdale, GA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. DR.BOSTIC PRIVATE HOME CARE NPI is 1801438288. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Home Care.

The provider's business location address is:

7670 CREEKSIDE LN
RIVERDALE, GA
ZIP 30296-173
Phone: (863) 777-3846

The provider's authorized official is Octavia Bostic .
The authorized official title is Administration and has the following contact phone number (863) 777-3846.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 5/7/2021.


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
1374U00000XHome Health AideYes

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: 5/5/2024

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