# CAPITOL HOME CARE SERVICES OF GEORGIA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225890742
- **Authorized official:** GLYNIS LEFLORE (OWNER OPERATOR)
- **Authorized official phone:** (404) 769-2464

## Contact information

- **Practice address:** 4745 LEGACY COVE LN, MABLETON, GA 30126-2580
- **Practice address phone:** (404) 769-2464
- **Mailing address:** 4480 S COBB DR SE STE H-477, SMYRNA, GA 30080-6990
- **Mailing address phone:** (404) 769-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | — | — |
| 261QM1102X | Military Outpatient Operational (Transportable) Component Clinic/Center | — | — | — |
| 261QM3000X | Medically Fragile Infants and Children Day Care | — | — | — |
| 261QP2400X | Prison Health Clinic/Center | — | — | — |
| 261QV0200X | VA Clinic/Center | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 332S00000X | Hearing Aid Equipment | — | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 01/29/2024