Provider Demographics
NPI:1871029975
Name:AIDEMAIDS PRIVATE HOME CARE LLC
Entity Type:Organization
Organization Name:AIDEMAIDS PRIVATE HOME CARE LLC
Other - Org Name:AIDEMAIDS PRIVATE HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-853-9558
Mailing Address - Street 1:2045 DOUBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-7009
Mailing Address - Country:US
Mailing Address - Phone:770-853-9558
Mailing Address - Fax:678-388-0843
Practice Address - Street 1:2045 DOUBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-7009
Practice Address - Country:US
Practice Address - Phone:770-853-9558
Practice Address - Fax:678-388-0843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-1787251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care