Provider Demographics
NPI:1376044743
Name:AMERICAN CAREGIVAS, LLC
Entity Type:Organization
Organization Name:AMERICAN CAREGIVAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CASMIR
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-707-0048
Mailing Address - Street 1:375 PAPER MILL DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3192
Mailing Address - Country:US
Mailing Address - Phone:678-707-0048
Mailing Address - Fax:770-936-1936
Practice Address - Street 1:375 PAPER MILL DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3192
Practice Address - Country:US
Practice Address - Phone:678-707-0048
Practice Address - Fax:770-936-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA055718457OtherDRIVER'S LICENSE