# ATHENS GA HOMECARE, LLC

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

## Provider details

- **NPI number:** 1629630793
- **Authorized official:** JACOB KIMBALL BUFFINGTON MHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (678) 710-8238

## Contact information

- **Practice address:** 855 SUNSET DR STE 19, ATHENS, GA 30606-2267
- **Practice address phone:** (678) 710-8238
- **Practice address fax:** (678) 866-2033
- **Mailing address:** 855 SUNSET DR STE 19, ATHENS, GA 30606-2267
- **Mailing address phone:** (678) 710-8238
- **Mailing address fax:** (678) 866-2033

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 06/28/2019