CCN: 111707 NPI: 1396065777 Organization

AMICASA HOSPICE HOME CARE

157 BURKE STREET , SUITE 119
STOCKBRIDGE, GA 302813439

Contact Information

Phone 4045371960
Fax 4049359334
Enumeration Date 2010-06-08
Last Updated 2016-01-05

Taxonomies

Code: 251J00000X License State: GA License: 075-R-0801
Code: 251E00000X License State: GA License: 075-R-0801
Code: 251G00000X (Primary) License State: GA License: 031-0344-H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12060

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 01