Provider Demographics
NPI:1689179806
Name:REGIONAL HOME HEALTHCARE SYSTEMS, EAST LLC
Entity Type:Organization
Organization Name:REGIONAL HOME HEALTHCARE SYSTEMS, EAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELLINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-572-8161
Mailing Address - Street 1:2727 SKYVIEW DR UNIT 1187
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-5012
Mailing Address - Country:US
Mailing Address - Phone:678-572-8161
Mailing Address - Fax:833-728-8697
Practice Address - Street 1:3595 HIRAM DOUGLASVILLE HWY STE 104
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-4963
Practice Address - Country:US
Practice Address - Phone:800-682-4817
Practice Address - Fax:833-728-8697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HOME HEALTHCARE SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health