1003124843 NPI number — BETTER HEALTH HOME CARE, INC

Table of content: (NPI 1003124843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003124843 NPI number — BETTER HEALTH HOME CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTER HEALTH HOME CARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003124843
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
217 ARROWHEAD BLVD STE A1
Provider Second Line Business Mailing Address:
SUITE 8
Provider Business Mailing Address City Name:
JONESBORO
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30236-1169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-770-4581
Provider Business Mailing Address Fax Number:
770-996-8248

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
217 ARROWHEAD BLVD STE A1
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30236-1169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-770-4581
Provider Business Practice Location Address Fax Number:
770-996-8248
Provider Enumeration Date:
09/14/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NWAGIDI
Authorized Official First Name:
GRACE
Authorized Official Middle Name:
U
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
678-770-4581

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  031-R-0374 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)