Provider Demographics
NPI:1265739437
Name:CAREPOINT HOME CARE, LLC
Entity type:Organization
Organization Name:CAREPOINT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-887-0478
Mailing Address - Street 1:4122 E PONCE DELEON AVENUE
Mailing Address - Street 2:UNIT 9
Mailing Address - City:CLARKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30021
Mailing Address - Country:US
Mailing Address - Phone:678-590-5100
Mailing Address - Fax:770-674-4839
Practice Address - Street 1:4122 E PONCE DELEON AVENUE
Practice Address - Street 2:UNIT 9
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021
Practice Address - Country:US
Practice Address - Phone:678-590-5100
Practice Address - Fax:770-674-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R0822253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care