Provider Demographics
NPI:1356791149
Name:SCINTI HOMECARE, INC.
Entity type:Organization
Organization Name:SCINTI HOMECARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-403-1636
Mailing Address - Street 1:3211 S CHEROKEE LN
Mailing Address - Street 2:SUITE 610
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-7025
Mailing Address - Country:US
Mailing Address - Phone:678-403-1636
Mailing Address - Fax:678-909-0275
Practice Address - Street 1:3211 S CHEROKEE LN
Practice Address - Street 2:SUITE 610
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7025
Practice Address - Country:US
Practice Address - Phone:678-403-1636
Practice Address - Fax:678-909-0275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028R0833251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health