Provider Demographics
NPI:1689850208
Name:ATLANTA PERSONAL CARE, INC.
Entity Type:Organization
Organization Name:ATLANTA PERSONAL CARE, INC.
Other - Org Name:HOME HELPERS & DIRECT LINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAWLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-624-4663
Mailing Address - Street 1:1270 CAROLINE ST NE
Mailing Address - Street 2:SUITE D120-383
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2758
Mailing Address - Country:US
Mailing Address - Phone:404-624-4663
Mailing Address - Fax:888-685-1270
Practice Address - Street 1:315 W PONCE DE LEON AVE
Practice Address - Street 2:SUITE 547
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2400
Practice Address - Country:US
Practice Address - Phone:404-624-4663
Practice Address - Fax:888-685-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0128251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health