Amicasa Home Care And Hospice
LBN: Amicasa Home Care Corporation
Amicasa Home Care And Hospice is an health care organization with primary practice located at 157 Burke Street Suite 119, Stockbridge GA 30281-3439. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Nursing Care. Agencies / Hospice Care, Community Based is the primary health care specialty.
Amicasa Home Care Corporation can be contacted via phone (404) 537-1960, or through Azike, Evelyn A. via phone (404) 537-1960.
Contact Information
Primary practice address
157 Burke Street Suite 119
Stockbridge GA 30281-3439
Phone: (404) 537-1960
Fax: (404) 935-9334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 075-R-0801 | Georgia |
| Agencies / Hospice Care, Community Based | 251G00000X | 031-0344-H | Georgia |
| Agencies / Nursing Care | 251J00000X | 075-R-0801 | Georgia |
Profile Details
| NPI number | 1396065777 |
|---|---|
| LBN Legal business name | Amicasa Home Care Corporation |
| DBA Doing business as | Amicasa Home Care And Hospice |
| Authorized official | Azike, Evelyn A. RN, MSN, CWOCN |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Jan 5th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396065777 | NPPES |
| Georgia | Other | 003110469B | MEDICAID CCSP |
| Georgia | Other | 565352 | MEDICAID CCSP |
| Georgia | Other | 031-0344-H | MEDICAID CCSP |
| Georgia | MEDICAID | 003110469A | MEDICAID CCSP |
| Georgia | Other | 075-R-0801 | MEDICAID CCSP |
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