Provider Demographics
NPI:1427363829
Name:NEELKANTH HOME CARE, LLC
Entity Type:Organization
Organization Name:NEELKANTH HOME CARE, LLC
Other - Org Name:AMERICARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDIP
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-488-5069
Mailing Address - Street 1:500 GROVE SPRING CT NW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6075
Mailing Address - Country:US
Mailing Address - Phone:678-571-0481
Mailing Address - Fax:
Practice Address - Street 1:500 GROVE SPRING CT NW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-6075
Practice Address - Country:US
Practice Address - Phone:678-571-0481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0561253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care