Provider Demographics
NPI:1982046843
Name:SIMPLICITY HEALTHCARE MANAGEMENT
Entity Type:Organization
Organization Name:SIMPLICITY HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:RACHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-886-7320
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30301-0011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8486 PARK RIDGE LN
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4347
Practice Address - Country:US
Practice Address - Phone:678-886-7320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-20
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA031-R-1502OtherSTATE OF GEORGIA HEALTHCARE REGULATION