Camellia Home Health

LBN: Home Health Agency Of Georgia Llc
Camellia Home Health is an health care organization with primary practice located at 1705 Enterprise Way Se Suite 102, Marietta GA 30067-9224. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Home Health Agency Of Georgia Llc can be contacted via phone (678) 354-1456, or through Payne, Wilford A. via phone (601) 544-2900.

Contact Information

Primary practice address
1705 Enterprise Way Se Suite 102 Marietta GA 30067-9224
Fax: (678) 797-5761
Website:
Authorized official contact:
Name: Payne, Wilford A.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Georgia

Profile Details

NPI number 1225068612
LBN Legal business name Home Health Agency Of Georgia Llc
DBA Doing business as Camellia Home Health
Authorized official Payne, Wilford A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 20th, 2013 - about 12 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 1225068612 NPPES
Georgia MEDICAID 113093084A

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