# HOME CARE OF WEST GA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prosper Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811123615
- **Authorized official:** ADRIENNE ELIZABETH BAIRD (ADMINISTRATOR)
- **Authorized official phone:** (678) 705-8717

## Contact information

- **Practice address:** 3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
- **Practice address phone:** (678) 705-8717
- **Practice address fax:** (404) 935-6110
- **Mailing address:** 3088 MERCER UNIVERSITY DRIVE, SUITE 210, CHAMBLEE, GA 30341
- **Mailing address phone:** (678) 705-8717
- **Mailing address fax:** (404) 935-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060R0226 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 12/19/2014