Provider Demographics
NPI:1861244238
Name:PALRINE HOME CARE, LLC
Entity type:Organization
Organization Name:PALRINE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-540-0107
Mailing Address - Street 1:769 EMPORIA LOOP
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6904
Mailing Address - Country:US
Mailing Address - Phone:470-540-0107
Mailing Address - Fax:
Practice Address - Street 1:769 EMPORIA LOOP
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-6904
Practice Address - Country:US
Practice Address - Phone:470-540-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care