Provider Demographics
NPI:1144929852
Name:FLAMEDE HEALTH CARE LLC
Entity type:Organization
Organization Name:FLAMEDE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FORBES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-418-1643
Mailing Address - Street 1:465 LANCE VIEW LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-8719
Mailing Address - Country:US
Mailing Address - Phone:470-418-1643
Mailing Address - Fax:
Practice Address - Street 1:465 LANCE VIEW LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-8719
Practice Address - Country:US
Practice Address - Phone:470-418-1643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health