Medside Healthcare
LBN: Medside Corporation
Medside Healthcare is an health care organization with primary practice located at 1120 Hope Road , Sandy Springs GA 30350. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty.
Medside Corporation can be contacted via phone (404) 633-7433, or through Vaysman, Viktor via phone (404) 633-7433.
Contact Information
Primary practice address
1120 Hope Road
Sandy Springs GA 30350
Phone: (404) 633-7433
Fax: (888) 633-7430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 060-245-H | Georgia |
| Agencies / Home Health | 251E00000X | 060-R-0068 | Georgia |
| Agencies / In Home Supportive Care | 253Z00000X | 060-R-0068 | Georgia |
Profile Details
| NPI number | 1306858121 |
|---|---|
| LBN Legal business name | Medside Corporation |
| DBA Doing business as | Medside Healthcare |
| Authorized official | Vaysman, Viktor Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 19th, 2020 - about 4 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 | 1306858121 | NPPES |
| Georgia | MEDICAID | 003231615A | |
| Georgia | MEDICAID | 00869943D | |
| Georgia | MEDICAID | 00869943B | |
| Georgia | MEDICAID | 00869943A | |
| Georgia | MEDICAID | 00849527A | |
| Georgia | MEDICAID | 00869943C |
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