# OURWAY DEMENTIA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ourway Dementia Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023737079
- **Authorized official:** CHANTELLE JOHNSON JOHNSON DEMENTIA SPECIALIST (OWNER)
- **Authorized official phone:** (678) 651-7254

## Contact information

- **Practice address:** 8455 HIGHWAY 85 BLDG 200, RIVERDALE, GA 30274-5115
- **Practice address phone:** (678) 651-7254
- **Practice address fax:** (229) 514-2204
- **Mailing address:** 8455 HIGHWAY 85 BLDG 200, RIVERDALE, GA 30274-5115
- **Mailing address phone:** (678) 651-7254
- **Mailing address fax:** (229) 514-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 02/05/2026