Organization · NPI-2

A.G. Rhodes Extendacare, INC.

Clinic/Center, Hearing and Speech · Atlanta, GA

NPI number1891879813
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1891879813
Entity type
Organization (NPI-2)
Legal business name
A.G. Rhodes Extendacare, INC.
Organization subpart
No
Enumeration date
Oct 25, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0700X Clinic/Center, Hearing and Speech––Yes
251G00000X Hospice Care, Community Based––
251V00000X Voluntary or Charitable––
261QA0600X Clinic/Center, Adult Day Care––
261QP2000X Clinic/Center, Physical Therapy––
315D00000X Hospice, Inpatient––
343900000X Non-emergency Medical Transport (VAN)––

Practice location

3715 Northside Pkwy Nw
Building 400, Suite 305
Atlanta, GA 30327-2806

Phone 404-949-3830 · Fax 404-949-3831

Mailing address

3715 Northside Pkwy Nw
Building 400, Suite 305
Atlanta, GA 30327-2806

Phone 404-949-3830 · Fax 404-949-3831

Authorized official

Russell Joseph Williams
Director Of Operations
4049493830

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