Healthsource Agency Inc

LBN: Healthsource Agency Inc
Healthsource Agency Inc is an health care organization with primary practice located at 110 Eagle Spring Dr Suite D, Stockbridge GA 30281-2568. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Healthsource Agency Inc can be contacted via phone (770) 310-8794, or through Noragbon, Rufina via phone (770) 310-8794.

Contact Information

Primary practice address
110 Eagle Spring Dr Suite D Stockbridge GA 30281-2568
Phone: (770) 310-8794
Fax: (678) 961-5719
Website:
Map and Directions
Authorized official contact:
Name: Noragbon, Rufina Registered Nurse (RN)
Phone: (770) 310-8794

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X RN165113 Georgia

Profile Details

NPI number 1629202874
LBN Legal business name Healthsource Agency Inc
DBA Doing business as
Authorized official Noragbon, Rufina Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2009
Last updated Jan 27th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629202874 NPPES
Georgia MEDICAID 893591747A

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