Provider Demographics
NPI:1790453389
Name:AMERICAN HEALTHCARE & FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTHCARE & FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GNIMBIN
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:OUATTARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-543-3151
Mailing Address - Street 1:847 CONNERS CV
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6934
Mailing Address - Country:US
Mailing Address - Phone:404-543-3151
Mailing Address - Fax:
Practice Address - Street 1:847 CONNERS CV
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-6934
Practice Address - Country:US
Practice Address - Phone:404-543-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA590Medicaid
GA930Medicaid