1396284972 NPI number — HAYES HOME CARE SERVICES,LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396284972 NPI number — HAYES HOME CARE SERVICES,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAYES HOME CARE SERVICES,LLC
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:
1396284972
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3379 PEACHTREE RD NE
Provider Second Line Business Mailing Address:
SUITE 555
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30326-1031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-946-0285
Provider Business Mailing Address Fax Number:
404-946-0284

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3379 PEACHTREE RD NE
Provider Second Line Business Practice Location Address:
SUITE 555
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30326-1031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-946-0285
Provider Business Practice Location Address Fax Number:
404-946-0284
Provider Enumeration Date:
02/16/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HAYES
Authorized Official First Name:
KAALA
Authorized Official Middle Name:
CHERIE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
404-852-4355

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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