Provider Demographics
NPI:1003047184
Name:HOME PHYSICIAN CARE, LLC
Entity Type:Organization
Organization Name:HOME PHYSICIAN CARE, LLC
Other - Org Name:AMERIMED MOBILE INTEGRATED HEALTHARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NP/CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-973-1649
Mailing Address - Street 1:5012 BRISTOL INDUSTRIAL WAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-9050
Mailing Address - Country:US
Mailing Address - Phone:770-554-9773
Mailing Address - Fax:678-730-4397
Practice Address - Street 1:5012 BRISTOL INDUSTRIAL WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-9050
Practice Address - Country:US
Practice Address - Phone:770-554-9773
Practice Address - Fax:678-730-4397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty