Provider Demographics
NPI:1346501855
Name:HTCARE, LLC
Entity Type:Organization
Organization Name:HTCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-601-7055
Mailing Address - Street 1:1071 JAMESTOWN BLVD
Mailing Address - Street 2:BUILDING D, SUITE 3
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-4137
Mailing Address - Country:US
Mailing Address - Phone:706-769-9797
Mailing Address - Fax:706-769-9993
Practice Address - Street 1:1071 JAMESTOWN BLVD
Practice Address - Street 2:BUILDING D, SUITE 3
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4137
Practice Address - Country:US
Practice Address - Phone:706-769-9797
Practice Address - Fax:706-769-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care