Provider Demographics
NPI:1619478856
Name:HEALTHCARE SYSTEMS OF GEORGIA LLC
Entity Type:Organization
Organization Name:HEALTHCARE SYSTEMS OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEBELEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-844-9975
Mailing Address - Street 1:PO BOX 26116
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-6116
Mailing Address - Country:US
Mailing Address - Phone:478-213-6401
Mailing Address - Fax:888-687-4829
Practice Address - Street 1:37 S SECOND AVE STE B
Practice Address - Street 2:
Practice Address - City:MC RAE
Practice Address - State:GA
Practice Address - Zip Code:31055-4658
Practice Address - Country:US
Practice Address - Phone:404-844-9975
Practice Address - Fax:888-687-4829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies