Provider Demographics
NPI:1013563824
Name:ARMS OF LOVE TELE-HEALTH, LLC
Entity type:Organization
Organization Name:ARMS OF LOVE TELE-HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:404-974-5435
Mailing Address - Street 1:400 PRYOR ST SW # 50241
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3747
Mailing Address - Country:US
Mailing Address - Phone:404-974-5435
Mailing Address - Fax:
Practice Address - Street 1:1201 W PEACHTREE ST NW STE 2311
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3449
Practice Address - Country:US
Practice Address - Phone:404-974-5435
Practice Address - Fax:404-745-0076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMS OF LOVE ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-16
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251G00000XAgenciesHospice Care, Community Based
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251V00000XAgenciesVoluntary or Charitable
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access