Provider Demographics
NPI:1174523765
Name:CYD HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:CYD HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-997-0913
Mailing Address - Street 1:102 N 85 PKWY STE L
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4070
Mailing Address - Country:US
Mailing Address - Phone:770-997-0913
Mailing Address - Fax:770-991-8849
Practice Address - Street 1:102 N 85 PKWY STE L
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4070
Practice Address - Country:US
Practice Address - Phone:770-997-0913
Practice Address - Fax:770-991-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00342768AMedicaid
GA00342768AMedicaid