Provider Demographics
NPI:1922299817
Name:APPALACHIAN HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:APPALACHIAN HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-745-5101
Mailing Address - Street 1:129 GOWDER DR
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-2969
Mailing Address - Country:US
Mailing Address - Phone:706-745-5101
Mailing Address - Fax:706-745-5139
Practice Address - Street 1:1658 GOWDER DR
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-2969
Practice Address - Country:US
Practice Address - Phone:706-745-5101
Practice Address - Fax:706-745-5139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA144132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA117095Medicare Oscar/Certification