Provider Demographics
NPI:1568117448
Name:A HOME FOR CARE, INC
Entity Type:Organization
Organization Name:A HOME FOR CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BIBBS
Authorized Official - Suffix:III
Authorized Official - Credentials:BA PSYCHOLOGY
Authorized Official - Phone:312-656-6412
Mailing Address - Street 1:4045 BRADFORD WALK TRL
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-7806
Mailing Address - Country:US
Mailing Address - Phone:312-656-6412
Mailing Address - Fax:
Practice Address - Street 1:4045 BRADFORD WALK TRL
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-7806
Practice Address - Country:US
Practice Address - Phone:312-656-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health