Provider Demographics
NPI:1194840728
Name:APPLIED HOME CARE
Entity Type:Organization
Organization Name:APPLIED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-320-3272
Mailing Address - Street 1:3758 LAVISTA RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-5260
Mailing Address - Country:US
Mailing Address - Phone:404-320-3272
Mailing Address - Fax:
Practice Address - Street 1:3758 LAVISTA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5620
Practice Address - Country:US
Practice Address - Phone:404-320-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health