Provider Demographics
NPI:1639755333
Name:ENTOUCH HOME CARE SERVICES OF ATLANTA, LLC
Entity Type:Organization
Organization Name:ENTOUCH HOME CARE SERVICES OF ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIKEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-915-2273
Mailing Address - Street 1:3343 PEACHTREE RD NE STE 145-560
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1085
Mailing Address - Country:US
Mailing Address - Phone:678-915-2273
Mailing Address - Fax:678-915-2283
Practice Address - Street 1:1350 CASCADE FALLS DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-3669
Practice Address - Country:US
Practice Address - Phone:678-915-2273
Practice Address - Fax:678-915-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care