Provider Demographics
NPI:1437602216
Name:MY PARENTS KEEPER INC
Entity type:Organization
Organization Name:MY PARENTS KEEPER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-228-7852
Mailing Address - Street 1:1868 WASHINGTON RD STE C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4129
Mailing Address - Country:US
Mailing Address - Phone:404-228-7852
Mailing Address - Fax:404-941-9070
Practice Address - Street 1:1868 WASHINGTON RD STE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-4129
Practice Address - Country:US
Practice Address - Phone:404-228-7852
Practice Address - Fax:404-941-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R1528253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care