Preventive Care Services, Inc.

LBN: Preventive Care Services, Inc.
Preventive Care Services, Inc. is an health care organization with primary practice located at 3961 Floyd Rd # 300335 , Austell GA 30106-8535. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Preventive Care Services, Inc. can be contacted via phone (770) 319-8201, or through Eaves, Cheryl Regina via phone (770) 319-8201.

Contact Information

Primary practice address
3961 Floyd Rd # 300335 Austell GA 30106-8535
Phone: (770) 319-8201
Fax: (770) 234-3890
Website:
Map and Directions
Authorized official contact:
Name: Eaves, Cheryl Regina Registered Nurse (RN)
Phone: (770) 319-8201

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1245453620
LBN Legal business name Preventive Care Services, Inc.
DBA Doing business as
Authorized official Eaves, Cheryl Regina Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Sep 14th, 2011 - about 13 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 1245453620 NPPES
Georgia MEDICAID 00653573A
Georgia MEDICAID H445131

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