Provider Demographics
NPI:1942649090
Name:NORMA PETERS HEALTH CARE
Entity Type:Organization
Organization Name:NORMA PETERS HEALTH CARE
Other - Org Name:NORMA HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RIGESTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:IONIE
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-773-8023
Mailing Address - Street 1:2024 COLLIER CIR W
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-5456
Mailing Address - Country:US
Mailing Address - Phone:678-773-8023
Mailing Address - Fax:
Practice Address - Street 1:2024 COLLIER CIR W
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-5456
Practice Address - Country:US
Practice Address - Phone:678-773-8023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHC576022251E00000X
OK1558656728251E00000X
GARN178119251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK2000033660Medicaid