Provider Demographics
NPI:1609633767
Name:REMNANT HOMECARE
Entity type:Organization
Organization Name:REMNANT HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:KETRINA
Authorized Official - Last Name:SWAFFORD-FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPAS, PA-C
Authorized Official - Phone:559-664-7299
Mailing Address - Street 1:139 ASHFORD PARK
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-8016
Mailing Address - Country:US
Mailing Address - Phone:559-664-7299
Mailing Address - Fax:
Practice Address - Street 1:1979 RIVERSIDE DR # 178
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1333
Practice Address - Country:US
Practice Address - Phone:478-210-1356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care