Provider Demographics
NPI:1215362504
Name:CONSIST HEALTH CARE INC
Entity Type:Organization
Organization Name:CONSIST HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-957-7819
Mailing Address - Street 1:5455 LEMOYNE DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-9207
Mailing Address - Country:US
Mailing Address - Phone:404-957-7819
Mailing Address - Fax:770-306-4770
Practice Address - Street 1:5455 LEMOYNE DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-9207
Practice Address - Country:US
Practice Address - Phone:404-957-7819
Practice Address - Fax:770-306-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health