Provider Demographics
NPI:1750037487
Name:SAPPHERIA HOMECARE AGENCY OF GEORGIA LLC
Entity Type:Organization
Organization Name:SAPPHERIA HOMECARE AGENCY OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-622-9988
Mailing Address - Street 1:10278 OLD ATLANTA HWY
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-0875
Mailing Address - Country:US
Mailing Address - Phone:470-622-9988
Mailing Address - Fax:
Practice Address - Street 1:10278 OLD ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-0875
Practice Address - Country:US
Practice Address - Phone:470-622-9988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care