Provider Demographics
NPI:1962902338
Name:FOR HOME MATTERS, LLC
Entity type:Organization
Organization Name:FOR HOME MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILISTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-906-8284
Mailing Address - Street 1:2261 TALMADGE RD UNIT 266
Mailing Address - Street 2:
Mailing Address - City:LOVEJOY
Mailing Address - State:GA
Mailing Address - Zip Code:30250-9911
Mailing Address - Country:US
Mailing Address - Phone:770-906-8284
Mailing Address - Fax:678-302-0333
Practice Address - Street 1:1267 DRESDEN CIR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-6404
Practice Address - Country:US
Practice Address - Phone:770-906-8284
Practice Address - Fax:770-302-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-R-1887251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health