Provider Demographics
NPI:1023807070
Name:HOMEWELL CONNECTIONS
Entity type:Organization
Organization Name:HOMEWELL CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-668-9110
Mailing Address - Street 1:3595 OLD FAIRBURN RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7919
Mailing Address - Country:US
Mailing Address - Phone:404-668-9110
Mailing Address - Fax:
Practice Address - Street 1:3595 OLD FAIRBURN RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7919
Practice Address - Country:US
Practice Address - Phone:404-668-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health