MOFAZZAL SURAIYA LLC
NPI 1497624134
Home Health in Duluth, GA

Active since October 31, 2025
3675 CRESTWOOD PKWY NW STE 405, DULUTH, GA 30096(678) 751-1776 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mofazzal Suraiya Llc NPPES

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

MOFAZZAL SURAIYA LLC (NPI 1497624134) is a healthcare organization registered as a home health in Duluth, Georgia and active in the NPI registry since October 2025. The organization lists Alija Rivanovic, Owner, as its authorized official.

NPPES Registry Identity

NPI1497624134
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOFAZZAL SURAIYA LLC
Location Address3675 CRESTWOOD PKWY NW STE 405Duluth, GA 30096-5129
Mailing Address2032 Wildcat Falls LnLawrenceville, GA 30043-2985 · (678) 751-1776
Organization SubpartNo
Authorized OfficialAlija RivanovicOwner · (678) 751-1776
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
NPI 1497624134 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.

3675 CRESTWOOD PKWY NW STE 405, Duluth, GA 30096

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497624134, enumerated as an "organization" on October 31, 2025.

The provider is located at 3675 CRESTWOOD PKWY NW STE 405 DULUTH, GA 30096 and the phone number is (678) 751-1776.

Home Health with taxonomy code 251E00000X.