Provider Demographics
NPI:1992920953
Name:HEALTHCARE PRINCIPALS GROUP, LLC
Entity type:Organization
Organization Name:HEALTHCARE PRINCIPALS GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRISIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-398-3841
Mailing Address - Street 1:4 AMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1068
Mailing Address - Country:US
Mailing Address - Phone:912-398-3841
Mailing Address - Fax:404-601-0198
Practice Address - Street 1:4 AMBERWOOD DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1068
Practice Address - Country:US
Practice Address - Phone:912-398-3841
Practice Address - Fax:404-601-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health