Provider Demographics
NPI:1518386721
Name:HARBEK PRIVATE HOME CARE SERVICES
Entity Type:Organization
Organization Name:HARBEK PRIVATE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:ALIOHA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:678-491-5049
Mailing Address - Street 1:3249 CREEK TRCE E
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3342
Mailing Address - Country:US
Mailing Address - Phone:678-491-5049
Mailing Address - Fax:678-567-1154
Practice Address - Street 1:3249 CREEK TRCE E
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3342
Practice Address - Country:US
Practice Address - Phone:678-491-5049
Practice Address - Fax:678-567-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-1134251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care