Provider Demographics
NPI:1710791207
Name:EQUITABLE HOME CARE SOLUTIONS LLC - AL
Entity type:Organization
Organization Name:EQUITABLE HOME CARE SOLUTIONS LLC - AL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-604-5635
Mailing Address - Street 1:260 LEGENDS TRCE
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8817
Mailing Address - Country:US
Mailing Address - Phone:706-604-5635
Mailing Address - Fax:
Practice Address - Street 1:4252 CARMICHAEL RD STE 218
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2804
Practice Address - Country:US
Practice Address - Phone:706-604-5635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care