Provider Demographics
NPI:1992153134
Name:AMERICAN HEARTS & HOME
Entity type:Organization
Organization Name:AMERICAN HEARTS & HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAPRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-422-8769
Mailing Address - Street 1:125 TOWNPARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2411
Mailing Address - Country:US
Mailing Address - Phone:404-474-8777
Mailing Address - Fax:
Practice Address - Street 1:126 ENTERPRISE PATH STE 101
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2655
Practice Address - Country:US
Practice Address - Phone:470-305-1490
Practice Address - Fax:470-357-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care