Provider Demographics
NPI:1124266176
Name:KEEPING YOU AT HOME
Entity type:Organization
Organization Name:KEEPING YOU AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-828-7200
Mailing Address - Street 1:PO BOX 669251
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-0105
Mailing Address - Country:US
Mailing Address - Phone:770-828-7200
Mailing Address - Fax:
Practice Address - Street 1:1651 MILLHOUSE LNDG
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-8032
Practice Address - Country:US
Practice Address - Phone:770-828-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOOC009375253Z00000X
WI456-0000421960-02253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care