Provider Demographics
NPI:1427437912
Name:XPRESSIONS HOME CARE, LLC
Entity type:Organization
Organization Name:XPRESSIONS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARONTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-837-2724
Mailing Address - Street 1:PO BOX 1436
Mailing Address - Street 2:
Mailing Address - City:PINE LAKE
Mailing Address - State:GA
Mailing Address - Zip Code:30072-1436
Mailing Address - Country:US
Mailing Address - Phone:770-837-2724
Mailing Address - Fax:
Practice Address - Street 1:4567 ROCKBRIDGE RD
Practice Address - Street 2:UNIT 1436
Practice Address - City:PINE LAKE
Practice Address - State:GA
Practice Address - Zip Code:30072-1921
Practice Address - Country:US
Practice Address - Phone:770-837-2724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-R-1401253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care