Provider Demographics
NPI:1427871979
Name:CONCIERGE CARE GIVERS
Entity type:Organization
Organization Name:CONCIERGE CARE GIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EJ
Authorized Official - Middle Name:
Authorized Official - Last Name:FUGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-862-8553
Mailing Address - Street 1:6397 AUTUMN VIEW TRACE
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7669
Mailing Address - Country:US
Mailing Address - Phone:404-862-8553
Mailing Address - Fax:
Practice Address - Street 1:6397 AUTUMN VIEW TRACE
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7669
Practice Address - Country:US
Practice Address - Phone:404-862-8553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty