Organization
123 GA HOME HEALTHCARE, LLLP
Active
Other names
123 GA Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK WHISBY (CEO)
(470) 554-6864
Entity
Organization
Contact information
Practice address
767 NORTH AVE, JONESBORO, GA 30236-2232
(678) 846-9557
Mailing address
767 NORTH AVE, JONESBORO, GA 30236-2232
(678) 846-9557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us