Provider Demographics
NPI:1881460616
Name:RED RIVER HOMECARE OF THE GOLDEN ISLES
Entity type:Organization
Organization Name:RED RIVER HOMECARE OF THE GOLDEN ISLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:STATE LICENSE
Authorized Official - Phone:912-222-6410
Mailing Address - Street 1:6110 ALTAMA AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-1827
Mailing Address - Country:US
Mailing Address - Phone:912-222-6410
Mailing Address - Fax:
Practice Address - Street 1:6110 ALTAMA AVE STE 112
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-1827
Practice Address - Country:US
Practice Address - Phone:912-222-6410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health