Provider Demographics
NPI:1104468776
Name:AN EXTRA HAND HOME CARE LLC.
Entity type:Organization
Organization Name:AN EXTRA HAND HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKS
Authorized Official - Suffix:
Authorized Official - Credentials:HOMECARE PROVIDER
Authorized Official - Phone:404-245-0497
Mailing Address - Street 1:2221 PEACHTREE RD NE STE D375
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1148
Mailing Address - Country:US
Mailing Address - Phone:404-245-0497
Mailing Address - Fax:404-521-4903
Practice Address - Street 1:1903 DREW DR NW APT 1204
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3527
Practice Address - Country:US
Practice Address - Phone:678-283-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care