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Contact Information

BACCHUS PRIVATE HOME CARE LLC
4925 BRIDLE POINT PARKWAY
SNELLVILLE, GA30039
 Phone: 404-468-7130
 Fax: 770-679-0617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for BACCHUS PRIVATE HOME CARE LLC

NPI Number 1255820007
LBN Legal business name BACCHUS PRIVATE HOME CARE LLC
Authorized official COLLEEN BACCHUS-LYNCH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2018
Last updated 05/08/2018 - About 8 years ago
Identifiers
GA License # 067-R-1438
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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