Provider Demographics
NPI:1073838306
Name:A HUG AWAY II, INCORPORATED
Entity Type:Organization
Organization Name:A HUG AWAY II, INCORPORATED
Other - Org Name:A HUG AWAY HEALTH CARE, INCORPORATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:PIERCE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-228-2487
Mailing Address - Street 1:956 DUNSTAN LN
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-2451
Mailing Address - Country:US
Mailing Address - Phone:404-228-2487
Mailing Address - Fax:
Practice Address - Street 1:21219 PARK ROYALE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4123
Practice Address - Country:US
Practice Address - Phone:832-868-4009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X, 251F00000X, 253Z00000X
GARN184995251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care