Provider Demographics
NPI:1174417349
Name:PROFICIENT IN HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PROFICIENT IN HOME CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-437-4445
Mailing Address - Street 1:7500 PARKLAND BND
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-5419
Mailing Address - Country:US
Mailing Address - Phone:404-437-4445
Mailing Address - Fax:
Practice Address - Street 1:27 W CAMPBELLTON ST STE 150
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-1357
Practice Address - Country:US
Practice Address - Phone:404-437-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health