Provider Demographics
NPI:1437737764
Name:BESTCARE SENIOR HOME INC.
Entity Type:Organization
Organization Name:BESTCARE SENIOR HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANMING
Authorized Official - Middle Name:
Authorized Official - Last Name:PEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-363-5480
Mailing Address - Street 1:1392 SEVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5188
Mailing Address - Country:US
Mailing Address - Phone:770-363-5480
Mailing Address - Fax:
Practice Address - Street 1:2775 CRUSE RD STE 1501
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7145
Practice Address - Country:US
Practice Address - Phone:770-717-8588
Practice Address - Fax:770-717-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003213730AMedicaid