Provider Demographics
NPI:1639753981
Name:NATIONAL HOME CARE CORPORATION
Entity Type:Organization
Organization Name:NATIONAL HOME CARE CORPORATION
Other - Org Name:NATIONAL HOME CARE CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-977-2186
Mailing Address - Street 1:5906 GA HIGHWAY 39
Mailing Address - Street 2:
Mailing Address - City:DONALSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:39845-6122
Mailing Address - Country:US
Mailing Address - Phone:800-977-2186
Mailing Address - Fax:912-387-4547
Practice Address - Street 1:5906 GA HIGHWAY 39
Practice Address - Street 2:
Practice Address - City:DONALSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:39845-6122
Practice Address - Country:US
Practice Address - Phone:229-309-2156
Practice Address - Fax:912-387-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHCP011156OtherPRIVATE HOMECARE PROVIDER PERMIT