Provider Demographics
NPI:1386321222
Name:HERE FOR U HEALTHCARE LLC
Entity type:Organization
Organization Name:HERE FOR U HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-245-9737
Mailing Address - Street 1:1298 BERRYHILL DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3017
Mailing Address - Country:US
Mailing Address - Phone:954-544-0834
Mailing Address - Fax:678-447-0671
Practice Address - Street 1:1168 CIMARRON CT
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021-2816
Practice Address - Country:US
Practice Address - Phone:678-245-9737
Practice Address - Fax:678-447-0671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care