Provider Demographics
NPI:1073847414
Name:ENCORE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ENCORE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TAREE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-218-6911
Mailing Address - Street 1:376 POWDER SPRINGS ST
Mailing Address - Street 2:220
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3454
Mailing Address - Country:US
Mailing Address - Phone:770-218-6911
Mailing Address - Fax:770-218-6966
Practice Address - Street 1:376 POWDER SPRINGS ST
Practice Address - Street 2:220
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3454
Practice Address - Country:US
Practice Address - Phone:770-218-6911
Practice Address - Fax:770-218-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care