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AGELESS PRIVATE HOME HEALTHCARE
NPI 1295054278
Home Health in Loganville, GA

Active since May 30, 2010
3188 KRISAM CREEK DR, LOGANVILLE, GA 30052(404) 553-6671 Get Directions Write a Review

NPPES record last updated: May 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ageless Private Home Healthcare NPPES

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

AGELESS PRIVATE HOME HEALTHCARE (NPI 1295054278) is a healthcare organization registered as a home health in Loganville, Georgia and active in the NPI registry since May 2010. The organization lists Jacqueline Pean, Owner, as its authorized official.

NPPES Registry Identity

NPI1295054278
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAGELESS PRIVATE HOME HEALTHCARE
Location Address3188 KRISAM CREEK DRLoganville, GA 30052-7907
Mailing Address3188 Krisam Creek DrLoganville, GA 30052-7907 · (404) 553-6671
Phone(404) 553-6671
Organization SubpartNo
Authorized OfficialJacqueline PeanOwner · (404) 553-6671
Enumeration DateMay 30, 2010
✔ NPI 1295054278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in GA · 067-R-0498
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.
3188 KRISAM CREEK DR, Loganville, GA 30052
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE PEAN
Registered Nurse
3188 KRISAM CREEK DR
LOGANVILLE, GA 30052
Gwinnett County (404) 553-6671

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 Ageless Private Home Healthcare's NPI number?

The NPI number for Ageless Private Home Healthcare is 1295054278. It was assigned to this organization in the NPPES registry on May 30, 2010.

Where is Ageless Private Home Healthcare located?

Ageless Private Home Healthcare is located at 3188 Krisam Creek Dr, Loganville, GA 30052. The listed phone number is (404) 553-6671.

What is Ageless Private Home Healthcare'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 Ageless Private Home Healthcare was last updated on May 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.