Provider Demographics
NPI:1386244242
Name:ATHENS HOME CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:ATHENS HOME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:269-575-2019
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:MI
Mailing Address - Zip Code:49011-0262
Mailing Address - Country:US
Mailing Address - Phone:269-275-3559
Mailing Address - Fax:
Practice Address - Street 1:215 W BURR OAK
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:MI
Practice Address - Zip Code:49011-9731
Practice Address - Country:US
Practice Address - Phone:269-275-3559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty