Plaza Home Care

LBN: Plaza Home Care Inc
Plaza Home Care is an health care organization with primary practice located at 220 W. Wilson St. , Villa Rica GA 30180-1807. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Plaza Home Care Inc can be contacted via phone (770) 459-2999, or through Hill, Andy via phone (770) 459-2999.

Contact Information

Primary practice address
220 W. Wilson St. Villa Rica GA 30180-1807
Fax: (770) 459-2288
Website:
Authorized official contact:
Name: Hill, Andy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE005636 Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE005636 Georgia

Profile Details

NPI number 1558305813
LBN Legal business name Plaza Home Care Inc
DBA Doing business as Plaza Home Care
Authorized official Hill, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 27th, 2017 - about 9 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 1558305813 NPPES
Georgia MEDICAID 00212066A
Georgia Other 1125841
Georgia MEDICAID 00212066B
Georgia Other 1125841
Georgia Other 1125841
Georgia MEDICAID 000212066B

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