Provider Demographics
NPI:1174264626
Name:PRELUDE CARE LLC
Entity Type:Organization
Organization Name:PRELUDE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-735-8528
Mailing Address - Street 1:285 W WIEUCA RD NE UNIT 5286
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3321
Mailing Address - Country:US
Mailing Address - Phone:877-773-5852
Mailing Address - Fax:770-766-5284
Practice Address - Street 1:803 CANTERBURY OVERLOOK
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-2981
Practice Address - Country:US
Practice Address - Phone:404-944-6689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion