Provider Demographics
NPI:1689022485
Name:K AND S BLUEPRINT, INC.
Entity Type:Organization
Organization Name:K AND S BLUEPRINT, INC.
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-944-8040
Mailing Address - Street 1:1768 VETERANS MEMORIAL HWY SW
Mailing Address - Street 2:BLDG 1
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-7902
Mailing Address - Country:US
Mailing Address - Phone:770-944-8040
Mailing Address - Fax:
Practice Address - Street 1:1768 VETERANS MEMORIAL HWY SW
Practice Address - Street 2:BLDG 1
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-7902
Practice Address - Country:US
Practice Address - Phone:770-944-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-1084253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care