Provider Demographics
NPI:1104221068
Name:NEKA'S NURSING CARE AND PERSONAL SERVICES
Entity Type:Organization
Organization Name:NEKA'S NURSING CARE AND PERSONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LONNEKKA
Authorized Official - Middle Name:PRITICE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:404-397-8916
Mailing Address - Street 1:4480 ENGLISH LOOP
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-4663
Mailing Address - Country:US
Mailing Address - Phone:404-397-8916
Mailing Address - Fax:
Practice Address - Street 1:4480 ENGLISH LOOP
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-4663
Practice Address - Country:US
Practice Address - Phone:404-397-8916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN087540251B00000X, 251E00000X, 251G00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care