Provider Demographics
NPI:1740277789
Name:ROBINSON HOME CARE CO
Entity type:Organization
Organization Name:ROBINSON HOME CARE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:770-832-3524
Mailing Address - Street 1:618 DIXIE ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3817
Mailing Address - Country:US
Mailing Address - Phone:770-832-3524
Mailing Address - Fax:770-832-3525
Practice Address - Street 1:618 DIXIE ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3817
Practice Address - Country:US
Practice Address - Phone:770-832-3524
Practice Address - Fax:770-832-3525
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-04
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE000040332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00035186BOtherDME
GA00035186AMedicaid
0200360001OtherNSC