Provider Demographics
NPI:1952993214
Name:SYNERGY HEALTHCARE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:SYNERGY HEALTHCARE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA,BSBA
Authorized Official - Phone:229-291-1091
Mailing Address - Street 1:1503 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1809
Mailing Address - Country:US
Mailing Address - Phone:229-889-8998
Mailing Address - Fax:229-405-3507
Practice Address - Street 1:1503 STUART AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1809
Practice Address - Country:US
Practice Address - Phone:229-889-8998
Practice Address - Fax:229-405-3507
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY HEALTHCARE MANAGEMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care