Provider Demographics
NPI:1932977139
Name:HONEST HEALTHCARE GEORGIA LLC
Entity Type:Organization
Organization Name:HONEST HEALTHCARE GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-443-7485
Mailing Address - Street 1:220 26TH ST NW APT 6313
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1939
Mailing Address - Country:US
Mailing Address - Phone:470-443-7485
Mailing Address - Fax:
Practice Address - Street 1:220 26TH ST NW APT 6313
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1939
Practice Address - Country:US
Practice Address - Phone:470-443-7485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health