NPI age
5 years
Enumerated 2020-07-07
● Active Type 2 · Organization
Providence Healthcare Services, Inc
Providence Healthcare Services, Inc is 1 of 3083 home health organizations in Georgia.
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Michel
President
Last NPPES update
2020-07-07
Source: monthly bulk 2026-05
How this organization compares
Across 3083 active home health providers in Georgia.
NPI age
5 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1230 Peachtree St Ne Fl 19
Atlanta, GA 303093574
Mailing address
1230 Peachtree St Ne Fl 19
Atlanta, GA 303093574
Authorized official
Kethy Michel
President
📞 4042547099
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Bunmi Akinmowo, FNP, PMHNP Nurse Practitioner NPI 1679946628
- Chalene Gardenhire, LCSW Social Worker NPI 1083067862
- Melanie Smith, LAPC Counselor NPI 1558952333
- Isadora Trask, MSW Social Worker NPI 1124800271
Specialties
-
Home Health PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Boston Healthcare Alliance
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.