Provider Demographics
NPI:1174282297
Name:NORTH ATLANTA HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:NORTH ATLANTA HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-984-8097
Mailing Address - Street 1:1107 PEARL MIST DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-5558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3081 HOLCOMB BRIDGE RD STE H1
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1397
Practice Address - Country:US
Practice Address - Phone:770-954-8097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care