Provider Demographics
NPI:1619284015
Name:AACHEN HOME CARE INC.
Entity Type:Organization
Organization Name:AACHEN HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-279-1658
Mailing Address - Street 1:3664 CLUB DR
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-2961
Mailing Address - Country:US
Mailing Address - Phone:770-279-1658
Mailing Address - Fax:770-456-5345
Practice Address - Street 1:3664 CLUB DR
Practice Address - Street 2:SUITE 203B
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-2961
Practice Address - Country:US
Practice Address - Phone:770-279-1658
Practice Address - Fax:770-456-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0342253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care