LE'GLEN PERSONAL CARE HOME
NPI 1053669986
Home Health in Ellenwood, GA

Q: What is Le'glen Personal Care Home's NPI number?

The NPI number for Le'glen Personal Care Home is 1053669986. It was assigned to this organization in the NPPES registry on August 27, 2012.

Q: What is Le'glen Personal Care Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since August 27, 2012

2490 BOULDER SPRINGS PT, ELLENWOOD, GA 30294(404) 963-1599 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Le'glen Personal Care Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LE'GLEN PERSONAL CARE HOME (NPI 1053669986) is a healthcare organization registered as a home health in Ellenwood, Georgia and active in the NPI registry since August 2012. The organization lists Glynda M Etchison, Provider, as its authorized official.

NPPES Registry Identity

NPI1053669986

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameLE'GLEN PERSONAL CARE HOME

Location Address2490 BOULDER SPRINGS PTEllenwood, GA 30294-1762

Mailing Address2490 Boulder Springs PtEllenwood, GA 30294-1762 · (404) 963-1599

Phone(404) 963-1599

Organization SubpartNo

Authorized OfficialGlynda M EtchisonProvider · (404) 963-1599

Enumeration DateAugust 27, 2012

✔ NPI 1053669986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in GA · PCH008098

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

2490 BOULDER SPRINGS PT, Ellenwood, GA 30294

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Le'glen Personal Care Home's NPI number?

The NPI number for Le'glen Personal Care Home is 1053669986. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Le'glen Personal Care Home located?

Le'glen Personal Care Home is located at 2490 Boulder Springs Pt, Ellenwood, GA 30294. The listed phone number is (404) 963-1599.

What is Le'glen Personal Care Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Le'glen Personal Care Home was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.