Provider Demographics
NPI:1639781305
Name:CARECEPT HOME HEALTH & HOSPICE
Entity type:Organization
Organization Name:CARECEPT HOME HEALTH & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-205-1889
Mailing Address - Street 1:600 PHIPPS BLVD NE APT 2512
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-3374
Mailing Address - Country:US
Mailing Address - Phone:404-205-1889
Mailing Address - Fax:404-592-5505
Practice Address - Street 1:600 PHIPPS BLVD NE APT 2512
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-3374
Practice Address - Country:US
Practice Address - Phone:404-205-1889
Practice Address - Fax:404-592-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health