Provider Demographics
NPI:1457057697
Name:POSITIVE AMERICAN HOME CARE
Entity Type:Organization
Organization Name:POSITIVE AMERICAN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERRELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-819-3654
Mailing Address - Street 1:7110 OAK RIDGE PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-5881
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7110 OAK RIDGE PKWY STE 160
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-5881
Practice Address - Country:US
Practice Address - Phone:786-819-3654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care