Provider Demographics
NPI:1780332155
Name:HEALTH@HOME CARE LLC
Entity type:Organization
Organization Name:HEALTH@HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS-TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-480-3403
Mailing Address - Street 1:2386 CLOWER ST BLDG D
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6134
Mailing Address - Country:US
Mailing Address - Phone:404-480-3403
Mailing Address - Fax:
Practice Address - Street 1:2386 CLOWER ST BLDG D
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6134
Practice Address - Country:US
Practice Address - Phone:404-480-3403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health