Provider Demographics
NPI:1386464170
Name:A'TWIN HOMECARE LLC
Entity type:Organization
Organization Name:A'TWIN HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIESHA
Authorized Official - Middle Name:ROSHELLE
Authorized Official - Last Name:VEAL-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-361-0906
Mailing Address - Street 1:1754 TIMARK DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-3437
Mailing Address - Country:US
Mailing Address - Phone:478-361-0906
Mailing Address - Fax:
Practice Address - Street 1:1754 TIMARK DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-3437
Practice Address - Country:US
Practice Address - Phone:478-361-0906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care