Southern Crescent Home Care

LBN: Southern Crescent Home Care
Southern Crescent Home Care is an health care organization with primary practice located at 1351 Grindenwald Dr , Jonesboro GA 30238-8001. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Southern Crescent Home Care can be contacted via phone (678) 360-6003, or through Moh, Jonathan Onyibo via phone (678) 360-6003.

Contact Information

Primary practice address
1351 Grindenwald Dr Jonesboro GA 30238-8001
Phone: (678) 360-6003
Fax: (770) 472-0107
Website:
Map and Directions
Authorized official contact:
Name: Moh, Jonathan Onyibo
Phone: (678) 360-6003

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 031-R-0360 Georgia

Profile Details

NPI number 1295065175
LBN Legal business name Southern Crescent Home Care
DBA Doing business as
Authorized official Moh, Jonathan Onyibo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2009
Last updated Dec 28th, 2009 - about 17 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 1295065175 NPPES
Georgia MEDICAID 164763686A

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