Provider Demographics
NPI:1285430462
Name:CAREGAP HOME HEALTH
Entity type:Organization
Organization Name:CAREGAP HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:NKEM
Authorized Official - Last Name:IKEMBA-MADU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-618-3424
Mailing Address - Street 1:2164 NORTHERN OAK DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-6064
Mailing Address - Country:US
Mailing Address - Phone:404-618-3424
Mailing Address - Fax:404-618-3428
Practice Address - Street 1:2164 NORTHERN OAK DR
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-6064
Practice Address - Country:US
Practice Address - Phone:404-618-3424
Practice Address - Fax:404-618-3428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health