# AMICITA HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHSGa Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225176365
- **Authorized official:** CHELSEA R BACON RN, BSN (ADMINISTRATOR)
- **Authorized official phone:** (912) 538-8000

## Contact information

- **Practice address:** 825 BAXTER ST, ATHENS, GA 30605-1111
- **Practice address phone:** (706) 769-5330
- **Practice address fax:** (706) 769-5320
- **Mailing address:** 806 MAPLE DR, VIDALIA, GA 30474-7208
- **Mailing address phone:** (912) 538-8000
- **Mailing address fax:** (912) 538-0467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 108-137-H | GA | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/13/2023