Provider Demographics
NPI:1932851466
Name:CHIRON THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CHIRON THERAPY SERVICES LLC
Other - Org Name:ACTI-KARE IN HOME RESPONSIVE CARE/COBB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HIGHSMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:OTR
Authorized Official - Phone:770-771-8535
Mailing Address - Street 1:594 LAKEVIEW TER SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-1991
Mailing Address - Country:US
Mailing Address - Phone:770-771-8535
Mailing Address - Fax:
Practice Address - Street 1:4480-HS. COBBDR
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30080
Practice Address - Country:US
Practice Address - Phone:770-771-8535
Practice Address - Fax:888-431-4599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIRON THERAPY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-26
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PHCP011091OtherNA
GAPHCP011091OtherNON MEDICAL IN HOME CARE