Provider Demographics
NPI:1750866232
Name:NKY HOUSING AND HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:NKY HOUSING AND HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:N
Authorized Official - Last Name:NNADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-663-2493
Mailing Address - Street 1:1856 WATERCREST DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-8031
Mailing Address - Country:US
Mailing Address - Phone:404-663-2493
Mailing Address - Fax:
Practice Address - Street 1:4854 OLD NATIONAL HWY STE 275
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-6242
Practice Address - Country:US
Practice Address - Phone:404-663-2493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty