Provider Demographics
NPI:1740811892
Name:BERRY AND MITCHELL HANDS OF CARING
Entity type:Organization
Organization Name:BERRY AND MITCHELL HANDS OF CARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:W
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/OWNER
Authorized Official - Phone:404-983-2599
Mailing Address - Street 1:1180 MARKET SQUARE LANE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044
Mailing Address - Country:US
Mailing Address - Phone:404-983-2599
Mailing Address - Fax:
Practice Address - Street 1:1180 MARKET SQUARE LANE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044
Practice Address - Country:US
Practice Address - Phone:404-983-2599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty