Provider Demographics
NPI:1891142469
Name:NORTH GEORGIA HOME CARE, INC.
Entity Type:Organization
Organization Name:NORTH GEORGIA HOME CARE, INC.
Other - Org Name:SYNERGY HOMECARE OF NORTH GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ARMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-783-2323
Mailing Address - Street 1:2550 HAMILTON MILL RD
Mailing Address - Street 2:#600
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-3611
Mailing Address - Country:US
Mailing Address - Phone:770-783-2323
Mailing Address - Fax:770-872-0913
Practice Address - Street 1:2550 HAMILTON MILL RD
Practice Address - Street 2:#600
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-3611
Practice Address - Country:US
Practice Address - Phone:770-783-2323
Practice Address - Fax:770-872-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0723253Z00000X
GA008-R-0722253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care