EDITH HOLLEY
NPI 1063018638
Home Health in Decatur, GA

Active since December 09, 2020
3774 CHATEAUGUAY DR, DECATUR, GA 30034(678) 491-0509(888) 286-5722 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edith Holley NPPES

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

EDITH HOLLEY (NPI 1063018638) is an individual home health provider in Decatur, Georgia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1063018638
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameEDITH HOLLEY
Location Address3774 CHATEAUGUAY DRDecatur, GA 30034-2107
Mailing Address3774 Chateauguay DrDecatur, GA 30034-2107 · (678) 491-0509 · Fax (888) 286-5722
Fax(888) 286-5722
Sole ProprietorYes
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1063018638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.

3774 CHATEAUGUAY DR, Decatur, GA 30034

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063018638, enumerated as an "individual" on December 09, 2020.

The provider is located at 3774 CHATEAUGUAY DR DECATUR, GA 30034 and the phone number is (678) 491-0509.

Home Health with taxonomy code 251E00000X.