Mystique Homecare Agency

LBN: Mystique Homecare Agency
Mystique Homecare Agency is an health care organization with primary practice located at 3675 Crestwood Pkwy Nw Ste 400 , Duluth GA 30096-5054. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Mystique Homecare Agency can be contacted via phone (470) 509-5533, or through Sholanke, Bukola via phone (470) 509-5533.

Contact Information

Primary practice address
3675 Crestwood Pkwy Nw Ste 400 Duluth GA 30096-5054
Phone: (470) 509-5533
Fax: (470) 625-3368
Website:
Map and Directions
Authorized official contact:
Name: Sholanke, Bukola
Phone: (470) 509-5533

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1750908018
LBN Legal business name Mystique Homecare Agency
DBA Doing business as
Authorized official Sholanke, Bukola
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2020
Last updated Oct 10th, 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.

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