Provider Demographics
NPI:1164666004
Name:RJ SHEPHERD II INC
Entity Type:Organization
Organization Name:RJ SHEPHERD II INC
Other - Org Name:BETTER HOME HEALTH CARE OF GA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-547-0495
Mailing Address - Street 1:1350 DRESDEN DR NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3454
Mailing Address - Country:US
Mailing Address - Phone:678-547-0495
Mailing Address - Fax:678-990-0814
Practice Address - Street 1:30 PERIMETER PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-1334
Practice Address - Country:US
Practice Address - Phone:678-547-0495
Practice Address - Fax:678-990-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA221675020AMedicaid