# KAIZENCARE HOME SERVICES LLC

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

## Provider details

- **NPI number:** 1538020219
- **Authorized official:** MS. JALITA J JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 642-9779

## Contact information

- **Practice address:** 255 N MAIN ST UNIT 1084, JONESBORO, GA 30237-2630
- **Practice address phone:** (404) 642-9779
- **Mailing address:** 255 N MAIN ST UNIT 1084, JONESBORO, GA 30237-2630
- **Mailing address phone:** (404) 642-9779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/21/2025
- **Last updated:** 11/21/2025
