Provider Demographics
NPI:1417708355
Name:PINKIE'S PRIVATE HOME CARE LLC.
Entity Type:Organization
Organization Name:PINKIE'S PRIVATE HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-255-9717
Mailing Address - Street 1:926 W HIGHLAND AVE APT B
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-2755
Mailing Address - Country:US
Mailing Address - Phone:229-255-9717
Mailing Address - Fax:912-303-7855
Practice Address - Street 1:926 W HIGHLAND AVE APT B
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2755
Practice Address - Country:US
Practice Address - Phone:229-255-9717
Practice Address - Fax:912-303-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health