Provider Demographics
NPI:1952139826
Name:OPA HOME CARE, LLC
Entity type:Organization
Organization Name:OPA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEASON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSC
Authorized Official - Phone:404-689-4440
Mailing Address - Street 1:9755 DOGWOOD RD STE 320
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4663
Mailing Address - Country:US
Mailing Address - Phone:404-689-4440
Mailing Address - Fax:
Practice Address - Street 1:9755 DOGWOOD RD STE 320
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4663
Practice Address - Country:US
Practice Address - Phone:404-689-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care