Provider Demographics
NPI:1730550179
Name:A-LIST HOME HEALTH AGENCY
Entity type:Organization
Organization Name:A-LIST HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-793-1383
Mailing Address - Street 1:1350 SCENIC HWY N STE 215
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7907
Mailing Address - Country:US
Mailing Address - Phone:678-808-4033
Mailing Address - Fax:
Practice Address - Street 1:1350 SCENIC HWY N STE 215
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7907
Practice Address - Country:US
Practice Address - Phone:678-808-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health