Provider Demographics
NPI:1508252917
Name:DUCERE INVESTMENT GROUP, INC
Entity Type:Organization
Organization Name:DUCERE INVESTMENT GROUP, INC
Other - Org Name:ELITE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARKESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-722-1622
Mailing Address - Street 1:1400 VETERANS MEMORIAL HWY
Mailing Address - Street 2:134-323
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126
Mailing Address - Country:US
Mailing Address - Phone:770-722-1622
Mailing Address - Fax:
Practice Address - Street 1:530 FOREST PKWY
Practice Address - Street 2:STE A
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2188
Practice Address - Country:US
Practice Address - Phone:678-705-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0789251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care