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GEORGIA IN HOME SUPPORT SERVICES
NPI 1063424752
Home Health in Fayetteville, GA

Active since August 12, 2006
155 ZELKOVA DR, FAYETTEVILLE, GA 30215(678) 817-7338 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Georgia In Home Support Services NPPES

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

GEORGIA IN HOME SUPPORT SERVICES (NPI 1063424752) is a healthcare organization registered as a home health in Fayetteville, Georgia and active in the NPI registry since August 2006. The organization lists Shantel Marie Forstall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063424752
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGEORGIA IN HOME SUPPORT SERVICES
Location Address155 ZELKOVA DRFayetteville, GA 30215-2528
Mailing Address155 Zelkova DrFayetteville, GA 30215-2528 · (678) 817-7338
Phone(678) 817-7338
Organization SubpartNo
Authorized OfficialShantel Marie ForstallAdministrator · (678) 817-7338
Enumeration DateAugust 12, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1063424752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in GA · 056-R-0260
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.
Also ListedNursing CareTaxonomy 251J00000X · License 056-R-0260 (GA)
155 ZELKOVA DR, Fayetteville, GA 30215
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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 Georgia In Home Support Services's NPI number?

The NPI number for Georgia In Home Support Services is 1063424752. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Georgia In Home Support Services located?

Georgia In Home Support Services is located at 155 Zelkova Dr, Fayetteville, GA 30215. The listed phone number is (678) 817-7338.

What is Georgia In Home Support Services'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 Georgia In Home Support Services was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.