| Jenesys Home Care Atlanta | |
|
3464 Roxboro Rd Ne Unit 1110 Atlanta GA 30326-1317 | |
| (757) 419-6153 | |
| (757) 420-0599 |
| Full Name | Jenesys Home Care Atlanta |
|---|---|
| Speciality | Home Health |
| Location | 3464 Roxboro Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Shante Hall (CEO) |
| Authorized Official Contact | 7574200566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenesys Home Care Atlanta 1403 Greenbrier Pkwy Ste 100 Chesapeake VA 23320-2876 Ph: (757) 420-0566 | Jenesys Home Care Atlanta 3464 Roxboro Rd Ne Unit 1110 Atlanta GA 30326-1317 Ph: (757) 419-6153 |
| NPI Number | 1003348707 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003348707 | NPI | - | NPPES |
| 1245574284 | Medicaid | VA | |
| 1841722600 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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