Organization
CARESOUTH HHA HOLDINGS OF MIDDLE GEORGIA, LLC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
3920 ARKWRIGHT RD STE 325, MACON, GA 31210-1731
(478) 742-7557
(478) 742-8491
Mailing address
6688 N CENTRAL EXPRESSWAY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000814811L
MEDICAID
GA
01
—
011-269-H
STATE LICENSE
GA
01
—
11D1093954
CLIA
GA
Enumeration date
06/09/2008
Last updated
12/31/2024
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