Diversified Personal Home Care

LBN: Diversified Personal Home Care
Diversified Personal Home Care is an health care organization with primary practice located at 145 Mcintosh Place Dr , Fayetteville GA 30214-7318. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Diversified Personal Home Care can be contacted via phone (404) 993-1270, or through Osilaja, Adesola via phone (404) 993-1270.

Contact Information

Primary practice address
145 Mcintosh Place Dr Fayetteville GA 30214-7318
Phone: (404) 993-1270
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Osilaja, Adesola
Phone: (404) 993-1270

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 056-R-1338 Georgia
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X 056-R-1338 Georgia

Profile Details

NPI number 1760924278
LBN Legal business name Diversified Personal Home Care
DBA Doing business as
Authorized official Osilaja, Adesola
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2016
Last updated Mar 28th, 2017 - about 8 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 1760924278 NPPES
Georgia Other 14028509 HOME HEALTH CARE

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