Provider Demographics
NPI:1144879974
Name:RUBY'S PRIVATE CARE, LLC
Entity type:Organization
Organization Name:RUBY'S PRIVATE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-853-8282
Mailing Address - Street 1:1850 REDMOND CIR NW STE 800
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1463
Mailing Address - Country:US
Mailing Address - Phone:706-237-6359
Mailing Address - Fax:
Practice Address - Street 1:1850 REDMOND CIR NW STE 800
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1463
Practice Address - Country:US
Practice Address - Phone:706-237-6359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)