Provider Demographics
NPI:1578312435
Name:PROFICIENT IN HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PROFICIENT IN HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-437-4445
Mailing Address - Street 1:75 WASHINGTON ST UNIT 1892
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-3620
Mailing Address - Country:US
Mailing Address - Phone:404-437-4445
Mailing Address - Fax:
Practice Address - Street 1:3719 WEEMS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-3735
Practice Address - Country:US
Practice Address - Phone:404-437-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care