Organization
JENESYS HOME CARE ATLANTA
Active
Parent organization
JENESYS HOME HEALTH CARE SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENESYS HOME HEALTH CARE SERVICES INC
Authorized official
SHANTE HALL (CEO)
(757) 420-0566
Entity
Organization
Contact information
Practice address
3464 ROXBORO RD NE, UNIT 1110, ATLANTA, GA 30326-1317
(757) 419-6153
(757) 420-0599
Mailing address
1403 GREENBRIER PKWY STE 100, CHESAPEAKE, VA 23320-2876
(757) 420-0566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245574284
—
VA
05
—
1841722600
—
VA
Enumeration date
03/31/2017
Last updated
03/31/2017
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