Provider Demographics
NPI:1386159408
Name:BETTER AT HOME LLC
Entity type:Organization
Organization Name:BETTER AT HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-313-0068
Mailing Address - Street 1:820 OLD MOUNTAIN RD NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-3843
Mailing Address - Country:US
Mailing Address - Phone:404-313-0068
Mailing Address - Fax:770-767-2993
Practice Address - Street 1:732 KENNESAW AVE NW STE 250
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-9406
Practice Address - Country:US
Practice Address - Phone:770-767-2992
Practice Address - Fax:770-767-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA033-R-1769OtherGEORGIA DEPARTMENT OF COMMUNITY HEALTH