Provider Demographics
NPI:1730772245
Name:AFFORDABLE CARE SERVICES AND ENTERPRISES, LLC
Entity type:Organization
Organization Name:AFFORDABLE CARE SERVICES AND ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-299-5670
Mailing Address - Street 1:925 MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3090
Mailing Address - Country:US
Mailing Address - Phone:404-405-4571
Mailing Address - Fax:678-805-4627
Practice Address - Street 1:925 MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3090
Practice Address - Country:US
Practice Address - Phone:404-405-4571
Practice Address - Fax:678-805-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No385H00000XRespite Care FacilityRespite Care