Provider Demographics
NPI:1265924740
Name:CARING SENIOR SERVICE OF COBB COUNTY
Entity type:Organization
Organization Name:CARING SENIOR SERVICE OF COBB COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUVENIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-298-7477
Mailing Address - Street 1:1000 PARKWOOD CIR SE STE 900
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2140
Mailing Address - Country:US
Mailing Address - Phone:470-298-7477
Mailing Address - Fax:470-625-2648
Practice Address - Street 1:1000 PARKWOOD CIR SE STE 900
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2140
Practice Address - Country:US
Practice Address - Phone:470-298-7477
Practice Address - Fax:470-625-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-1796251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health