Provider Demographics
NPI:1477006682
Name:EPITOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:EPITOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-321-8671
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-1231
Mailing Address - Country:US
Mailing Address - Phone:857-321-8671
Mailing Address - Fax:187-738-7784
Practice Address - Street 1:15 NEW ENGLAND EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5202
Practice Address - Country:US
Practice Address - Phone:857-321-8671
Practice Address - Fax:187-752-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health