Provider Demographics
NPI:1487799698
Name:XCEPTIONAL CARE INC.
Entity type:Organization
Organization Name:XCEPTIONAL CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:404-534-1973
Mailing Address - Street 1:3951 SNAPFINGER PKWY
Mailing Address - Street 2:STE 590
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3204
Mailing Address - Country:US
Mailing Address - Phone:404-534-1973
Mailing Address - Fax:404-534-1975
Practice Address - Street 1:3951 SNAPFINGER PKWY
Practice Address - Street 2:STE 590
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3204
Practice Address - Country:US
Practice Address - Phone:404-534-1973
Practice Address - Fax:404-534-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000722213BMedicaid