# NEXGEN HOME CARE INC

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

## Provider details

- **NPI number:** 1992000517
- **Authorized official:** SHARON L LAM (CEO)
- **Authorized official phone:** (404) 480-0234

## Contact information

- **Practice address:** 5165 ESTATE VIEW TRCE, SUWANEE, GA 30024
- **Practice address phone:** (404) 480-0234
- **Mailing address:** 5165 ESTATE VIEW TRCE, SUWANEE, GA 30024-3410
- **Mailing address phone:** (404) 480-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 061-R-0711 | GA | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 11/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 061-R-0711 | GEORGIA DEPARTMENT OF COMMUNITY HEALTH | GA |