Organization
RISING STAR PERSONAL CARE HOME LLC
Active
Parent organization
RISING STAR HOME HEALTHCARE LLC
Other names
Rising Star Personal Care Home, Rising Star Home Health Care Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RISING STAR HOME HEALTHCARE LLC
Authorized official
TERRIE LISA MCGILL (DIRECTOR OF OPERATIONS)
(678) 701-5115
Entity
Organization
Contact information
Practice address
5018 E PONCE DE LEON AVE, STONE MOUNTAIN, GA 30083-1236
(404) 298-0150
(678) 904-5628
Mailing address
5018 E PONCE DE LEON AVE, STONE MOUNTAIN, GA 30083-1236
(404) 298-0150
(678) 904-5628
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
PCH009075
GA
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/12/2015
Last updated
01/30/2024
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