MR. STACEY HARRIS
NPI 1679897854
Home Health in Carrollton, GA

Active since March 17, 2010
55 HICKORY CIR, CARROLLTON, GA 30116(678) 601-3504 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Stacey Harris NPPES

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

MR. STACEY HARRIS (NPI 1679897854) is an individual home health provider in Carrollton, Georgia, licensed in Georgia (022-01-022-1) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1679897854
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameMR. STACEY HARRIS
Location Address55 HICKORY CIRCarrollton, GA 30116-8692
Mailing Address55 Hickory CirCarrollton, GA 30116-8692 · (678) 601-3504
Sole ProprietorYes
Enumeration DateMarch 17, 2010
Last NPPES UpdateJune 22, 2011
NPI 1679897854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in GA · 022-01-022-1
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.

55 HICKORY CIR, Carrollton, GA 30116

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
55 HICKORY CIR
CARROLLTON, GA 30116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679897854, enumerated as an "individual" on March 17, 2010.

The provider is located at 55 HICKORY CIR CARROLLTON, GA 30116 and the phone number is (678) 601-3504.

Home Health with taxonomy code 251E00000X.