# REPRIEVE HOMECARE, LLC

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

## Provider details

- **NPI number:** 1750889267
- **Authorized official:** KISHA FOSTER (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (770) 843-6117

## Contact information

- **Practice address:** 95 LANDON WAY, COVINGTON, GA 30016-3402
- **Practice address phone:** (770) 843-6117
- **Practice address fax:** (470) 310-3466
- **Mailing address:** 3828 SALEM RD STE 35, COVINGTON, GA 30016-4528
- **Mailing address phone:** (770) 843-6117
- **Mailing address fax:** (470) 310-3466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 107-R-1781 | GA | Yes |

## Other

- **Enumeration date:** 01/30/2018
- **Last updated:** 01/30/2018