WELLSTAR HOMECARE BILLING, LLC (NPI# 1417935701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417935701 |
| Entity Type | Organization |
| Organization Name | WELLSTAR HOMECARE BILLING, LLC |
| Other Organization Name | WELLSTAR HOMECARE SERVICES |
| Practice Address |
805 Sandy Plains Rd Marietta GA 30066-6340 |
| Practice Telephone | 7707921616 |
| Practice Fax Number | 7707921785 |
| Mailing Telephone | 7707921616 |
| Mailing Fax Number | 7707921785 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | ANTHONY J BUDZINSKI (ACTING PRESIDENT AND CEO) |
| Authorized Official Telephone | 7707927600 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHRE008449 | GA | Suppliers |
| Y | 251F00000X | Home Infusion | PHRE008449 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00848416B | 05 |
| Other Name | Type Code |
|---|---|
| WellStar Homecare Services | Doing Business As Name - Organization |
| Street Address |
805 SANDY PLAINS RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992240 | Wellstar Medical Group, LLC | Clinic/Center | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2016-02-18 |
| 1457743304 | Seibattu Kallon | Nurse Practitioner | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2015-03-02 |
| 1164796009 | Maria De Freitas | Physician Assistant | 805 Sandy Plains Rd, Wellstar Medical Group, Marietta, GA 30066-6340 | 2012-02-23 |
| 1518139195 | Wellstar Professional Services, LLC | Internal Medicine | 805 Sandy Plains Rd, Wpg-cbo, Marietta, GA 30066-6340 | 2008-03-24 |
| 1043405905 | Sherlyne Sidney | Physical Therapist | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2007-09-12 |
| 1447442314 | Donald H Campbell | Surgery | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2007-08-15 |
| 1437219656 | Wellstar Health System, Inc. | Point of Service | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-12-11 |
| 1750489720 | Richard Hart | Internal Medicine | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-09-21 |
| 1215035548 | Marcia Lee Delk | Internal Medicine | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-09-20 |
| 1073591376 | Wellstar Home Health, LLC | Home Health | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100263 | Homechoice Partners, Inc. | Home Infusion | 2206 Dawson Rd Ste B, Albany, GA 31707-3212 | 2020-09-29 |
| 1265049662 | Infuscience South Carolina LLC | Home Infusion | 7001 Chatham Center Dr Ste 2000, Savannah, GA 31405-1372 | 2020-09-29 |
| 1740805753 | Complete Nursing Care, LLC | Home Infusion | 3461 Tackett Rd, Douglasville, GA 30135-4343 | 2020-06-15 |
| 1689210064 | Changing Hearts Home Care LLC | Home Infusion | 3024 Cooper Woods Ln, Loganville, GA 30052-8215 | 2019-11-21 |
| 1225681752 | Agate Enterprise LLC | Home Infusion | 205 Frasher Way, Johns Creek, GA 30097-2426 | 2019-07-23 |
| 1285104232 | Paragon Infusion Care, Inc | Home Infusion | 5775 Peachtree Dunwoody Rd Bldg D, Atlanta, GA 30342-1556 | 2018-12-03 |
| 1730659806 | Caremax Pharmacy of Loudon, Inc | Home Infusion | 125 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2018-11-30 |
| 1699114124 | Homechoice Partners, Inc. | Home Infusion | 2206 Dawson Rd, Suite B, Albany, GA 31707-3279 | 2013-06-18 |
| 1639415425 | Advanced Home Care, Inc. | Home Infusion | 5901 Goshen Springs Rd, Suite G, Norcross, GA 30071 | 2012-12-24 |
| 1891096087 | Goodlife Care, LLC | Home Infusion | 1400 Veterans Memorial Hwy Se, Suite 134 #305, Mableton, GA 30126-2945 | 2010-11-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.