RUBY'S PERSONAL HOME CARE LLC. NPI 1366721946

NPI Information

NPI: 1366721946
Provider Name: RUBY'S PERSONAL HOME CARE LLC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
2625 FIELDSTONE VIEW LN SE
CONYERS, GA
ZIP 30013
Phone: (770) 679-5482
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RUBY'S PERSONAL HOME CARE LLC. is an adult care home custodial care facility in Conyers, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. RUBY'S PERSONAL HOME CARE LLC. NPI is 1366721946. The provider is registered as an organization entity type.

The provider's business location address is:

2625 FIELDSTONE VIEW LN SE
CONYERS, GA
ZIP 30013-184
Phone: (770) 679-5482
Fax: (770) 679-0619

The provider's authorized official is Christine Lawes .
The authorized official title is Administrator/owner and has the following contact phone number (770) 679-5482.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	PCH005620	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PCH005620	OTHER	GEORGIA	GEORGIA DEPARTMENT OF COMMUNITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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