Provider Demographics
NPI:1376772780
Name:HOMECARE HUMAN RESOURCE, LLC
Entity Type:Organization
Organization Name:HOMECARE HUMAN RESOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHAINNA
Authorized Official - Middle Name:SADE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-441-6625
Mailing Address - Street 1:85 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30054-3863
Mailing Address - Country:US
Mailing Address - Phone:404-441-6625
Mailing Address - Fax:678-342-8575
Practice Address - Street 1:85 PECAN LN
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:GA
Practice Address - Zip Code:30054-3863
Practice Address - Country:US
Practice Address - Phone:404-441-6625
Practice Address - Fax:678-342-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA107-R-0539251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health