Provider Demographics
NPI:1225436751
Name:GOD'S HELPER'S PRIVATE HOME CARE, LLC
Entity Type:Organization
Organization Name:GOD'S HELPER'S PRIVATE HOME CARE, LLC
Other - Org Name:GODS HELPERS PRIVATE HOME CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHIA
Authorized Official - Middle Name:REANCA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-747-9688
Mailing Address - Street 1:1916 WILLA DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4267
Mailing Address - Country:US
Mailing Address - Phone:404-747-9688
Mailing Address - Fax:
Practice Address - Street 1:1916 WILLA DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032
Practice Address - Country:US
Practice Address - Phone:404-747-9688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care