Organization · NPI-2

Capitol Home Care Services Of Georgia LLC

In Home Supportive Care · Mableton, GA

NPI number1225890742

StatusActive

Last updated in NPPESJan 29, 2024

Details

NPI: 1225890742
Entity type: Organization (NPI-2)
Legal business name: Capitol Home Care Services Of Georgia LLC
Organization subpart: No
Enumeration date: Jan 29, 2024
Certification date: Jan 29, 2024
Last updated: Jan 29, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
171M00000X	Case Manager/Care Coordinator	–	–
251B00000X	Case Management	–	–
251J00000X	Nursing Care	–	–
261QA0600X	Clinic/Center, Adult Day Care	–	–
261QH0100X	Clinic/Center, Health Services	–	–
261QM1102X	Clinic/Center, Military Outpatient Operational (Transportable) Component	–	–
261QM3000X	Clinic/Center, Medically Fragile Infants and Children Day Care	–	–
261QP2400X	Clinic/Center, Prison Health	–	–
261QV0200X	Clinic/Center, VA	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
332S00000X	Hearing Aid Equipment	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
3747P1801X	Technician, Personal Care Attendant	–	–
385H00000X	Respite Care	–	–

Practice location

4745 Legacy Cove Ln
Mableton, GA 30126-2580

Phone 404-769-2464

Mailing address

4480 S Cobb Dr Se Ste H-477
Smyrna, GA 30080-6990

Phone 404-769-2464

Authorized official

Glynis Leflore
Owner Operator
4047692464

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