Provider Demographics
NPI:1093690992
Name:ELDER'S JOURNEY HOME CARE OF NORTHERN ATLANTA, LLC
Entity type:Organization
Organization Name:ELDER'S JOURNEY HOME CARE OF NORTHERN ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:812-360-7041
Mailing Address - Street 1:4255 N. ARNOLD MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3017
Mailing Address - Country:US
Mailing Address - Phone:470-307-2660
Mailing Address - Fax:678-653-8555
Practice Address - Street 1:4255 N. ARNOLD MILL ROAD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3017
Practice Address - Country:US
Practice Address - Phone:470-307-2660
Practice Address - Fax:678-653-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health