P Praxis·MD
● Active Type 2 · Organization

Ageless Private Home Healthcare

Home Health·Loganville, GA· NPI 1295054278 · Enumerated 2010 · 15 years on NPI
Ageless Private Home Healthcare is 1 of 3083 home health organizations in Georgia.
NPI age
15 years
Enumerated 2010-05-30
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pean
Owner
Last NPPES update
2010-05-30
Source: monthly bulk 2026-05

How this organization compares

Across 3083 active home health providers in Georgia.

NPI age
15 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-05Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
3188 Krisam Creek Dr
Loganville, GA 300527907
📞 4045536671
Mailing address
3188 Krisam Creek Dr
Loganville, GA 300527907
📞 4045536671

Authorized official

Jacqueline Pean, REGISTERED NURSE
Owner
📞 4045536671

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Home Health Primary
    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...
    GA license #067-R-0498 taxonomy 251E00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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