NPI age
4 years
Enumerated 2021-11-09
● Active Type 2 · Organization
Hiawatha Private Healthcare Service, Llc
Hiawatha Private Healthcare Service, Llc is 1 of 1784 in home supportive care organizations in Georgia.
Primary specialty
In Home Supportive Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rainey
Administrator
Last NPPES update
2024-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 1784 active in home supportive care providers in Georgia.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
3424 Kensington Dr S
Augusta, GA 309066002
Mailing address
3424 Kensington Dr S
Augusta, GA 309066002
Authorized official
Hiawatha Vennessa Rainey, CNA
Administrator
📞 7063060091
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Hiawatha Rainey Nurse's Aide NPI 1700633930
Specialties
-
In Home Supportive Care PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 253Z00000X | PRIVATE HOME CARE PROVIDER |
| 01 (GA) | 251E00000X | PRIVATE HOME CARE PROVIDER |
| 01 (GA) | 251X00000X | PRIVATE HOME CARE PROVIDER |
| 01 (GA) | 251J00000X | PRIVATE HOME CARE PROVIDER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Hiawatha Private Healthcare Service, LLC
-
Hiawatha Private Healthcare Service, LLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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