Provider Demographics
NPI:1588999262
Name:ANALIA HOME HEALTH CARE SERVICES, LLC.
Entity type:Organization
Organization Name:ANALIA HOME HEALTH CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KETHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-587-0945
Mailing Address - Street 1:145 RIVER WATCH DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-8342
Mailing Address - Country:US
Mailing Address - Phone:404-587-0945
Mailing Address - Fax:678-658-7634
Practice Address - Street 1:2365 WALL ST SE
Practice Address - Street 2:SUITE 230
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013
Practice Address - Country:US
Practice Address - Phone:404-587-0945
Practice Address - Fax:770-788-8629
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANALIA HOME HEALTH CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA107R0616251E00000X, 251J00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health