Provider Demographics
NPI:1508502402
Name:CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.
Entity type:Organization
Organization Name:CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS HCA
Authorized Official - Phone:404-492-1656
Mailing Address - Street 1:PO BOX 1875
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30237-1875
Mailing Address - Country:US
Mailing Address - Phone:404-492-1656
Mailing Address - Fax:
Practice Address - Street 1:204 PLAYERS CIR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-1102
Practice Address - Country:US
Practice Address - Phone:404-492-1656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ADVOCATES FOR CHANGE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-12
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty