Organization
EMINENT HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JACKSON (ADMINISTRATOR)
(470) 426-0100
Entity
Organization
Contact information
Practice address
5287 SHORTHORN WAY, POWDER SPRINGS, GA 30127-6915
(470) 426-0100
Mailing address
5287 SHORTHORN WAY, POWDER SPRINGS, GA 30127-6915
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP013084
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
04/03/2024
Last updated
02/03/2026
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