Provider Demographics
NPI:1114174992
Name:GHHS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:GHHS HEALTHCARE, LLC
Other - Org Name:GEORGIA HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:POTEET
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:423-667-4611
Mailing Address - Street 1:3404 GREYSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-1048
Mailing Address - Country:US
Mailing Address - Phone:229-247-4663
Mailing Address - Fax:
Practice Address - Street 1:4380 KINGS WAY
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602
Practice Address - Country:US
Practice Address - Phone:229-247-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA117058Medicare Oscar/Certification