Provider Demographics
NPI:1316387913
Name:GEORGIA SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:GEORGIA SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-352-3600
Mailing Address - Street 1:770 OLD ROSWELL PLACE,
Mailing Address - Street 2:SUITE J 100-200
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:678-352-3600
Mailing Address - Fax:
Practice Address - Street 1:770 OLD ROSWELL PLACE,
Practice Address - Street 2:SUITE J100 - 200
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:678-352-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARB1003213171WH0202X
GARBI003213171WH0202X
253Z00000X, 332B00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty