Provider Demographics
NPI:1821566928
Name:TIMBERHOUSE HOME CARE
Entity Type:Organization
Organization Name:TIMBERHOUSE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWDNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-760-2613
Mailing Address - Street 1:2131 STALLINGS ST
Mailing Address - Street 2:SUITE 2358
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014
Mailing Address - Country:US
Mailing Address - Phone:678-504-2281
Mailing Address - Fax:
Practice Address - Street 1:595 OAK TERRACE DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-0296
Practice Address - Country:US
Practice Address - Phone:678-504-2281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health