Provider Demographics
NPI:1881443968
Name:AY HEALTHCARE LLC
Entity type:Organization
Organization Name:AY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:IYOK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:404-934-0024
Mailing Address - Street 1:430 SPRING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-1690
Mailing Address - Country:US
Mailing Address - Phone:470-321-1797
Mailing Address - Fax:470-300-0035
Practice Address - Street 1:430 SPRING CREEK WAY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-1690
Practice Address - Country:US
Practice Address - Phone:470-321-1797
Practice Address - Fax:470-300-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care