Pruitthealth @ Home - Cobb

LBN: Pruitthealth Home Health - North Atlanta, Inc
Pruitthealth @ Home - Cobb is an health care organization with primary practice located at 1676 Mulkey Road Suites D And E, Austell GA 30106-1172. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Pruitthealth Home Health - North Atlanta, Inc can be contacted via phone (770) 916-4501, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
1676 Mulkey Road Suites D And E Austell GA 30106-1172
Phone: (770) 916-4501
Fax: (770) 916-4504
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1528008018
LBN Legal business name Pruitthealth Home Health - North Atlanta, Inc
DBA Doing business as Pruitthealth @ Home - Cobb
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 5th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528008018 NPPES
Georgia MEDICAID 00586341A

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