Provider Demographics
NPI: | 1417401746 |
---|---|
Name: | TWO CARING HANDS PRIVATE HOME CARE |
Entity type: | Organization |
Organization Name: | TWO CARING HANDS PRIVATE HOME CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATION |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | YOLANDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHAW-BARROWS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 678-203-2258 |
Mailing Address - Street 1: | 3564 WESLEY CHAPEL RD # E140 |
Mailing Address - Street 2: | |
Mailing Address - City: | DECATUR |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30034-5254 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 678-203-2258 |
Mailing Address - Fax: | 404-301-4590 |
Practice Address - Street 1: | 4555 FLAT SHOALS PKWY STE 100B |
Practice Address - Street 2: | |
Practice Address - City: | DECATUR |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30034-5040 |
Practice Address - Country: | US |
Practice Address - Phone: | 678-203-2258 |
Practice Address - Fax: | 404-301-4590 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-08-03 |
Last Update Date: | 2023-12-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | 00241422 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |