Provider Demographics
NPI:1306209952
Name:JAMES, RACHEAL (CNA)
Entity Type:Individual
Prefix:
First Name:RACHEAL
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5877 HOMESTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-1368
Mailing Address - Country:US
Mailing Address - Phone:678-961-5964
Mailing Address - Fax:
Practice Address - Street 1:5877 HOMESTEAD CIR
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-1368
Practice Address - Country:US
Practice Address - Phone:678-961-5964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide