# JENESYS HOME CARE ATLANTA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JENESYS HOME HEALTH CARE SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003348707
- **Legal business name:** JENESYS HOME HEALTH CARE SERVICES INC
- **Authorized official:** SHANTE HALL (CEO)
- **Authorized official phone:** (757) 420-0566

## Contact information

- **Practice address:** 3464 ROXBORO RD NE, UNIT 1110, ATLANTA, GA 30326-1317
- **Practice address phone:** (757) 419-6153
- **Practice address fax:** (757) 420-0599
- **Mailing address:** 1403 GREENBRIER PKWY STE 100, CHESAPEAKE, VA 23320-2876
- **Mailing address phone:** (757) 420-0566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2017
- **Last updated:** 03/31/2017