Provider Demographics
NPI:1053734806
Name:LE CONCIERGE HOME CARE SOLUTIONS
Entity type:Organization
Organization Name:LE CONCIERGE HOME CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEALTH CARE CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN-MARIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HEADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-605-6687
Mailing Address - Street 1:300 JOHNSON FERRY RD NE
Mailing Address - Street 2:UNIT A313
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4157
Mailing Address - Country:US
Mailing Address - Phone:770-605-6687
Mailing Address - Fax:
Practice Address - Street 1:2386 CLOWER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6134
Practice Address - Country:US
Practice Address - Phone:770-605-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN 099098251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health