Provider Demographics
NPI:1164190625
Name:RIGHTEOUS HANDS PERSONAL CARE AGENCY, LLC
Entity Type:Organization
Organization Name:RIGHTEOUS HANDS PERSONAL CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:404-585-2973
Mailing Address - Street 1:673 MAPLE GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-5824
Mailing Address - Country:US
Mailing Address - Phone:404-585-2973
Mailing Address - Fax:404-855-2647
Practice Address - Street 1:673 MAPLE GROVE WAY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-5824
Practice Address - Country:US
Practice Address - Phone:404-585-2973
Practice Address - Fax:404-855-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHCP011247Medicaid