Big Mommas' House Pch Inc

LBN: Big Mommas' House Pch Inc
Big Mommas' House Pch Inc is an health care organization with primary practice located at 4791 Golod Way , Lithonia GA 30038-6297. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Big Mommas' House Pch Inc can be contacted via phone (678) 418-3007, or through Abdul-Aziz, Haniyyah Intarsar via phone (678) 418-3007.

Contact Information

Primary practice address
4791 Golod Way Lithonia GA 30038-6297
Phone: (678) 418-3007
Fax: (678) 418-9958
Website:
Map and Directions
Authorized official contact:
Name: Abdul-Aziz, Haniyyah Intarsar
Phone: (678) 418-3007

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1578892774
LBN Legal business name Big Mommas' House Pch Inc
DBA Doing business as
Authorized official Abdul-Aziz, Haniyyah Intarsar
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Dec 17th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578892774 NPPES
Georgia MEDICAID 654081001A

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