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SPECIALIZED HEALTHCARE SERVICES LLC
NPI 1679091458
In Home Supportive Care in Hephzibah, GA

Active since August 31, 2017
2920 TOBACCO ROAD, SUIT A, HEPHZIBAH, GA 30815(770) 365-0578 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017 (2 updates tracked since 2017).

About Specialized Healthcare Services Llc NPPES

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

SPECIALIZED HEALTHCARE SERVICES LLC (NPI 1679091458) is a healthcare organization registered as an in home supportive care in Hephzibah, Georgia and active in the NPI registry since August 2017. The organization lists Johnette Divers, Contracts Administrator, as its authorized official.

NPPES Registry Identity

NPI1679091458
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameSPECIALIZED HEALTHCARE SERVICES INC
Location Address2920 TOBACCO ROAD, SUIT AHephzibah, GA 30815
Mailing Address2920 Tobacco Rd Ste AHephzibah, GA 30815-9012 · (770) 365-0578
Phone(770) 365-0578
Organization SubpartNo
Authorized OfficialJohnette DiversContracts Administrator · (404) 604-5691
Enumeration DateAugust 31, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679091458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in GA · 033-R-1448
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
2920 TOBACCO ROAD, SUIT A, Hephzibah, GA 30815
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Other Names 1

Other NameSpecialized Healthcare Services Llc

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 Specialized Healthcare Services Inc's NPI number?

The NPI number for Specialized Healthcare Services Inc is 1679091458. It was assigned to this organization in the NPPES registry on August 31, 2017. The provider is also known as Specialized Healthcare Services LLC.

Where is Specialized Healthcare Services Inc located?

Specialized Healthcare Services Inc is located at 2920 Tobacco Road, Suit A, Hephzibah, GA 30815. The listed phone number is (770) 365-0578.

What is Specialized Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Specialized Healthcare Services Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.