BIG MOMMAS' HOUSE PCH INC
NPI 1578892774
Home Health in Lithonia, GA

Active since December 17, 2009
4791 GOLOD WAY, LITHONIA, GA 30038(678) 418-3007(678) 418-9958 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Big Mommas' House Pch Inc NPPES

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

BIG MOMMAS' HOUSE PCH INC (NPI 1578892774) is a healthcare organization registered as a home health in Lithonia, Georgia and active in the NPI registry since December 2009. The organization lists Haniyyah Intarsar Abdul-aziz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578892774
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBIG MOMMAS' HOUSE PCH INC
Location Address4791 GOLOD WAYLithonia, GA 30038-6297
Mailing Address4791 Golod WayLithonia, GA 30038-6297 · (678) 418-3007 · Fax (678) 418-9958
Fax(678) 418-9958
Organization SubpartNo
Authorized OfficialHaniyyah Intarsar Abdul-azizCeo · (678) 418-3007
Enumeration DateDecember 17, 2009
NPI 1578892774 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.
4791 GOLOD WAY, Lithonia, GA 30038

Other Identifiers 1

Medicaid654081001AGA

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 Big Mommas' House Pch Inc's NPI number?

The NPI number for Big Mommas' House Pch Inc is 1578892774. It was assigned to this organization in the NPPES registry on December 17, 2009.

Where is Big Mommas' House Pch Inc located?

Big Mommas' House Pch Inc is located at 4791 Golod Way, Lithonia, GA 30038. The listed phone number is (678) 418-3007.

What is Big Mommas' House Pch Inc'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 Big Mommas' House Pch Inc was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.