Provider Demographics
NPI:1700142056
Name:H & N IN-HOME CARE
Entity Type:Organization
Organization Name:H & N IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-451-5862
Mailing Address - Street 1:2759 MOUNT ZION PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2568
Mailing Address - Country:US
Mailing Address - Phone:404-451-5862
Mailing Address - Fax:
Practice Address - Street 1:2759 MT. ZION PARKWAY
Practice Address - Street 2:SUITE D
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2759
Practice Address - Country:US
Practice Address - Phone:404-451-5862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0733302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization